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Urine Porphobilinogen Screen

Utah 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 $27 · 10th–90th $5$380%20%10th90th$27Professionalmedian $5 · 10th–90th $4$70%20%10th90th$5$5.0$10.0$20.0

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
$5.37
Median
$28.84
Typical High
$38.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$5.37
Typical High
$6.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$6.03
Typical High
$15.85
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.63
Median
$2.95
Typical High
$8.32
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$23.44
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$4.90
Typical High
$5.25
Select Health
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$4.07
Typical High
$4.07
Select Health
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$5.75
Typical High
$7.59
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$5.13
Typical High
$8.71
United
Setting
Facility
Modifier
Global
Typical Low
$2.88
Median
$2.88
Typical High
$3.80
United
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$2.51
Typical High
$6.03