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Sickle Cell Adhesion Test, VCAM-1

Kentucky rates for HCPCS 0121U

Measures how strongly a person's blood cells stick to VCAM-1, a protein on the lining of blood vessels, using a whole blood sample. Sticking of this kind contributes to the blockages seen in sickle cell disease. A companion test measures adhesion to P-selectin instead.

Rates data updated July 2026.

How much does Sickle Cell Adhesion Test, VCAM-1 cost?

$513

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $513 for this service. The price depends on where it is billed: about $513 from a physician practice, and about $692 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 6 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$513$309 to $631
FacilityA hospital or hospital-owned outpatient department$692$417 to $1,230

How much rates vary

Facilitymedian $692 · 10th to 90th $417 to $1,230Professionalmedian $513 · 10th to 90th $69 to $1,230
$100$500$2K$10K$50Kfacility $692professional $513

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
$416.87
Median
$630.96
Typical High
$1,230.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$691.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$69.18
Typical High
$389.05
CareSource
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$9,120.11
Typical High
$46,773.51
CareSource
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$691.83
Typical High
$9,549.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$741.31
Typical High
$1,071.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$2,454.71
Typical High
$2,454.71
Molina
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$512.86
Typical High
$616.60
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$309.03
Typical High
$512.86

Where Kentucky sits

The same service costs 3.0 times more in South Dakota than in Connecticut. 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.

Kentucky· 19th of 51

$513

SD $977CT $331

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.