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Pregnanediol Test

Massachusetts 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?

$21.88

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $21.88 for this service. The price depends on where it is billed: about $21.38 from a physician practice, and about $46.77 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 8 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$21.38$19.50 to $32.36
FacilityA hospital or hospital-owned outpatient department$46.77$26.92 to $61.66

How much rates vary

Facilitymedian $47 · 10th to 90th $18 to $81Professionalmedian $21 · 10th to 90th $16 to $59
$10$50$200$1Kfacility $47professional $21

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
$18.20
Median
$46.77
Typical High
$91.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$19.95
Typical High
$85.11
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$26.92
Typical High
$100.00
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$21.38
Typical High
$51.29
BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$46.77
Typical High
$75.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$24.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$30.20
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$24.55
Typical High
$54.95
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$104.71
Typical High
$7,079.46
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$36.31
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$57.54
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$26.92
Typical High
$100.00
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$21.38
Typical High
$51.29
United
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$21.38
Typical High
$28.18
United
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$19.95
Typical High
$48.98

Where Massachusetts 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.

Massachusetts· 25th of 51

$21.88

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.