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Laboratory Test Measuring One Substance

Pennsylvania rates for HCPCS 82540

A laboratory test that measures a single named substance in a patient's sample. The result is used to help make a diagnosis. Only that one substance is reported.

Rates data updated July 2026.

How much does Laboratory Test Measuring One Substance cost?

$5.62

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $5.62 for this service. The price depends on where it is billed: about $3.80 from a physician practice, and about $11.75 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 9 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$3.80$3.63 to $4.37
FacilityA hospital or hospital-owned outpatient department$11.75$7.76 to $16.60

How much rates vary

Facilitymedian $12 · 10th to 90th $5 to $30Professionalmedian $4 · 10th to 90th $4 to $8
$2$5$10$20facility $12professional $4

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
$4.90
Median
$12.02
Typical High
$29.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$3.80
Typical High
$7.08
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$33.11
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$4.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.31
Median
$7.08
Typical High
$15.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$5.75
Typical High
$11.22
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2.19
Median
$2.75
Typical High
$6.76
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$4.68
Median
$4.68
Typical High
$4.68
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$5.13
Typical High
$8.13
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.31
Median
$12.30
Typical High
$24.55
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$3.47
Typical High
$3.63
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$4.37
Median
$11.75
Typical High
$26.92
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.98
Typical High
$11.75
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$10.72
Typical High
$22.39
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$4.68
Typical High
$6.61
United
Setting
Facility
Modifier
Global
Typical Low
$2.51
Median
$4.68
Typical High
$5.62
United
Setting
Professional
Modifier
Global
Typical Low
$2.09
Median
$3.80
Typical High
$8.13

Where Pennsylvania sits

The same service costs 2.6 times more in Nebraska than in Washington, DC. 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· 14th of 51

$5.62

NE $8.91DC $3.47

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.