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Urine Porphobilinogen Screen

New Hampshire rates for HCPCS 84106

A urine test that checks whether porphobilinogen is present. This substance builds up during an attack of acute porphyria, a rare inherited disorder causing severe abdominal pain, confusion and dark urine. The result is reported simply as present or absent.

Rates data updated July 2026.

Facilitymedian $15 · 10th–90th $8$340%10%10th90th$15Professionalmedian $5 · 10th–90th $3$190%10%10th90th$5$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$15.49
Typical High
$40.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$4.90
Typical High
$19.05
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$11.22
Typical High
$33.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.34
Median
$3.80
Typical High
$11.22
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$21.88
Typical High
$30.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$6.03
Typical High
$16.98
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$10.23
Typical High
$19.50
United
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$3.63
Typical High
$13.18