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Ceramide Blood Test For Heart Risk

Pennsylvania rates for HCPCS 0119U

Estimates a person's risk of a heart attack or other cardiac event by measuring ceramides, a family of fats, in blood plasma. The levels are reported together with a cardiac risk score.

Rates data updated July 2026.

How much does Ceramide Blood Test For Heart Risk cost?

$70.79

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $70.79 for this service. The price depends on where it is billed: about $67.61 from a physician practice, and about $89.13 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$67.61$7.94 to $70.79
FacilityA hospital or hospital-owned outpatient department$89.13$70.79 to $148

How much rates vary

Facilitymedian $89 · 10th to 90th $16 to $288Professionalmedian $68 · 10th to 90th $8 to $91
$10$20$50$100$200facility $89professional $68

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
$16.22
Median
$89.13
Typical High
$295.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$67.61
Typical High
$81.28
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$128.82
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$120.23
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$48.98
Typical High
$120.23
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$83.18
Typical High
$144.54
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$125.89
Typical High
$295.12
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$67.61
Typical High
$208.93
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$91.20
Typical High
$208.93
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$83.18
Typical High
$91.20
United
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$83.18
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$52.48
Typical High
$125.89

Where Pennsylvania sits

The same service costs 20.4 times more in South Dakota than in Arkansas. 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· 29th of 51

$70.79

SD $162AR $7.94

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.