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Prion Protein Detection In Spinal Fluid

Vermont rates for HCPCS 0035U

Helps investigate suspected prion disease, a rare condition in which a brain protein misfolds and damages nerve tissue. It uses an amplification technique to detect misfolded prion protein in cerebrospinal fluid and reports whether it is present.

Rates data updated July 2026.

How much does Prion Protein Detection In Spinal Fluid cost?

$676

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $676 for this service. The price depends on where it is billed: about $676 from a physician practice, and about $537 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$676$676 to $676
FacilityA hospital or hospital-owned outpatient department$537$191 to $912

How much rates vary

Facilitymedian $537 · 10th to 90th $191 to $912Professionalmedian $676 · 10th to 90th $355 to $676
$200$500$1Kfacility $537professional $676

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$776.25
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
United
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$323.59
Typical High
$758.58

Where Vermont sits

The same service costs 2.3 times more in Wyoming than in Nebraska. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Vermont· 4th of 51

$676

WY $832NE $355

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.