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Lp-PLA2 Heart Disease Risk Test

New York rates for HCPCS 83698

This blood test measures the level of an enzyme called lipoprotein-associated phospholipase A2, which is linked to inflammation inside artery walls. Elevated levels can indicate a higher risk of plaque buildup and related heart or blood vessel problems, so the test is sometimes used alongside other risk factors to assess cardiovascular risk. It is drawn from a standard blood sample.

Rates data updated July 2026.

How much does Lp-PLA2 Heart Disease Risk Test cost?

$39.81

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $39.81 for this service. The price depends on where it is billed: about $31.62 from a physician practice, and about $75.86 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$31.62$25.12 to $46.77
FacilityA hospital or hospital-owned outpatient department$75.86$46.77 to $107

How much rates vary

Facilitymedian $76 · 10th to 90th $37 to $132Professionalmedian $32 · 10th to 90th $19 to $72
$10$20$50$100$200facility $76professional $32

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
$37.15
Median
$79.43
Typical High
$125.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$33.11
Typical High
$46.77
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$120.23
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$20.89
Typical High
$91.20
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$46.77
Typical High
$46.77
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$46.77
Typical High
$46.77
Cigna
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$100.00
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$56.23
Typical High
$223.87
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$46.77
Typical High
$104.71
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$32.36
Typical High
$89.13
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$41.69
Typical High
$51.29
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$87.10
Typical High
$257.04
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$46.77
Typical High
$95.50
United
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$47.86
Typical High
$57.54
United
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$27.54
Typical High
$83.18
Univera
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$53.70
Typical High
$114.82
Univera
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$46.77
Typical High
$114.82

Where New York sits

The same service costs 3.2 times more in Alaska than in Florida. 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.

New York· 38th of 51

$39.81

AK $105FL $32.36

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.