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Pregnanediol Test

Virginia 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?

$18.20

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $18.20 for this service. The price depends on where it is billed: about $15.85 from a physician practice, and about $22.91 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$15.85$14.79 to $18.20
FacilityA hospital or hospital-owned outpatient department$22.91$21.38 to $52.48

How much rates vary

Facilitymedian $23 · 10th to 90th $18 to $91Professionalmedian $16 · 10th to 90th $9 to $44
$10$100$1K$10Kfacility $23professional $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
$46.77
Typical High
$79.43
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$16.60
Typical High
$40.74
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$85.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$15.49
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$89.13
Typical High
$120.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$48.98
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$14.13
Typical High
$30.90
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$25.70
Typical High
$31.62
Medcost
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$32.36
Typical High
$37.15
Medcost
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$22.91
Typical High
$22.91
Medcost
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$32.36
Typical High
$44.67
Sentara
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$25.70
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$25.70
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$21.38
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$11.22
Typical High
$19.95

Where Virginia 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.

Virginia· 38th of 51

$18.20

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.