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Pregnanediol Test

Illinois rates for HCPCS 84135

Measures pregnanediol, the breakdown product the body makes from progesterone and then clears out. It is a downstream waste product rather than a starting material for other hormones, so the level is used as an indirect read on how much progesterone the body is producing. It is most often measured in a sample collected over a set period.

Rates data updated July 2026.

How much does Pregnanediol Test cost?

$19.05

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $19.05 for this service. The price depends on where it is billed: about $16.22 from a physician practice, and about $33.88 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 6 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$16.22$13.18 to $21.38
FacilityA hospital or hospital-owned outpatient department$33.88$21.88 to $43.65

How much rates vary

Facilitymedian $34 · 10th to 90th $18 to $72Professionalmedian $16 · 10th to 90th $3 to $44
$5$10$20$50$100$200facility $34professional $16

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
$17.38
Median
$33.11
Typical High
$58.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$18.20
Typical High
$43.65
BCBS
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$36.31
Typical High
$208.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$14.79
Typical High
$16.22
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$46.77
Typical High
$97.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$24.55
Typical High
$38.90
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$38.90
Typical High
$97.72
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$27.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$11.75
United
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$21.38
Typical High
$42.66
United
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$11.75
Typical High
$21.38

Where Illinois sits

The same service costs 3.0 times more in Alaska 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.

Illinois· 37th of 51

$19.05

AK $47.86DC $15.85

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.