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Pregnanediol Test

Pennsylvania 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?

$19.95

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $19.95 for this service. The price depends on where it is billed: about $17.38 from a physician practice, and about $44.67 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$17.38$16.98 to $19.95
FacilityA hospital or hospital-owned outpatient department$44.67$25.70 to $63.10

How much rates vary

Facilitymedian $45 · 10th to 90th $18 to $117Professionalmedian $17 · 10th to 90th $15 to $38
$10$20$50$100$200facility $45professional $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
$18.20
Median
$50.12
Typical High
$79.43
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$17.38
Typical High
$50.12
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$138.04
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$16.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$30.90
Typical High
$72.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$24.55
Typical High
$46.77
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$12.59
Typical High
$30.90
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$21.38
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$21.38
Typical High
$37.15
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$50.12
Typical High
$79.43
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$17.38
Typical High
$63.10
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$97.72
Typical High
$173.78
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$21.38
Typical High
$27.54
United
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$21.38
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$13.49
Typical High
$33.88

Where Pennsylvania 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.

Pennsylvania· 34th of 51

$19.95

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.