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Blood Test Score For Type 2 Diabetes Risk

Pennsylvania rates for HCPCS 81506

A blood test that measures several markers at once and combines them through a set formula into a single score estimating a person's chance of developing type 2 diabetes over the next few years. The score is used to judge how strongly to push prevention — weight, diet, activity and sometimes preventive medicine.

Rates data updated July 2026.

How much does Blood Test Score For Type 2 Diabetes Risk cost?

$63.10

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $63.10 for this service. The price depends on where it is billed: about $56.23 from a physician practice, and about $102 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$56.23$53.70 to $64.57
FacilityA hospital or hospital-owned outpatient department$102$74.13 to $174

How much rates vary

Facilitymedian $102 · 10th to 90th $59 to $257Professionalmedian $56 · 10th to 90th $36 to $120
$50$100$200$500facility $102professional $56

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
$58.88
Median
$107.15
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$56.23
Typical High
$162.18
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$398.11
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$93.33
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$83.18
Typical High
$102.33
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$40.74
Typical High
$100.00
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$69.18
Typical High
$120.23
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$107.15
Typical High
$245.47
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$56.23
Typical High
$204.17
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$89.13
Typical High
$169.82
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$69.18
Typical High
$89.13
United
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$69.18
Typical High
$83.18
United
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$48.98
Typical High
$102.33

Where Pennsylvania sits

The same service costs 4.3 times more in Alaska 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.

Pennsylvania· 25th of 51

$63.10

AK $155CT $36.31

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.