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Pregnanediol Test

Ohio 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?

$19.50

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $19.50 for this service. The price depends on where it is billed: about $16.98 from a physician practice, and about $29.51 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$16.98$10.96 to $20.42
FacilityA hospital or hospital-owned outpatient department$29.51$21.38 to $46.77

How much rates vary

Facilitymedian $30 · 10th to 90th $17 to $51Professionalmedian $17 · 10th to 90th $9 to $40
$10$20$50facility $30professional $17

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
$36.31
Typical High
$51.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$18.20
Typical High
$47.86
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$22.39
Typical High
$38.90
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$11.75
Typical High
$26.92
CareSource
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$24.55
CareSource
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$27.54
Typical High
$87.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$12.59
Typical High
$37.15
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$28.18
Typical High
$87.10
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$12.30
Typical High
$40.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$17.38
Typical High
$26.30
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$22.39
Typical High
$42.66
United
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$21.38
Typical High
$31.62
United
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$12.88
Typical High
$26.92

Where Ohio 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.

Ohio· 36th of 51

$19.50

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.