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Pregnanediol Test

New York 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?

$20.89

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $20.89 for this service. The price depends on where it is billed: about $16.22 from a physician practice, and about $36.31 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$16.22$14.13 to $21.38
FacilityA hospital or hospital-owned outpatient department$36.31$21.38 to $48.98

How much rates vary

Facilitymedian $36 · 10th to 90th $18 to $59Professionalmedian $16 · 10th to 90th $9 to $40
$10$20$50$100$200facility $36professional $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
$18.20
Median
$37.15
Typical High
$58.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$16.98
Typical High
$26.92
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$54.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$10.96
Typical High
$48.98
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$21.38
Typical High
$21.38
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$21.38
Typical High
$21.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$50.12
Typical High
$208.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$28.84
Typical High
$102.33
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$27.54
Typical High
$58.88
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$14.79
Typical High
$41.69
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$21.38
Typical High
$26.30
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$39.81
Typical High
$257.04
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$32.36
Typical High
$43.65
United
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$25.70
Typical High
$31.62
United
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$15.85
Typical High
$52.48
Univera
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$24.55
Typical High
$61.66
Univera
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$22.39
Typical High
$70.79

Where New York 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.

New York· 30th of 51

$20.89

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.