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Detailed Lipoprotein Fraction Measurement

Pennsylvania rates for HCPCS 0052U

Measures the cholesterol-carrying particles in blood in more detail than a standard cholesterol panel. Spinning the sample at high speed separates every major lipoprotein fraction — including HDL, LDL and VLDL — along with their subfractions, and each is measured and reported.

Rates data updated July 2026.

How much does Detailed Lipoprotein Fraction Measurement cost?

$28.84

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $28.84 for this service. The price depends on where it is billed: about $27.54 from a physician practice, and about $64.57 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 8 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$27.54$20.42 to $28.84
FacilityA hospital or hospital-owned outpatient department$64.57$40.74 to $85.11

How much rates vary

Facilitymedian $65 · 10th to 90th $29 to $120Professionalmedian $28 · 10th to 90th $19 to $34
$20$50$100facility $65professional $28

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$64.57
Typical High
$120.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$27.54
Typical High
$31.62
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$26.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$45.71
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$48.98
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$33.88
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$38.90
Typical High
$64.57
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$70.79
Typical High
$120.23
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$27.54
Typical High
$100.00
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$37.15
Typical High
$83.18
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$37.15
United
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$33.88
Typical High
$40.74
United
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$20.42
Typical High
$45.71

Where Pennsylvania sits

The same service costs 3.4 times more in Alaska 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.

Pennsylvania· 32nd of 51

$28.84

AK $75.86NE $22.39

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.