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Procalcitonin Blood Test

Washington, DC rates for HCPCS 84145

Measures procalcitonin, a substance that climbs sharply in the blood during a serious bacterial infection while staying low in most viral illnesses. It helps doctors judge how likely a bacterial infection is, how severe it is, and whether antibiotics can safely be stopped as a patient improves. It is often repeated so the trend can be followed.

Rates data updated July 2026.

How much does Procalcitonin Blood Test cost?

$20.42

Typical negotiated rate. In Washington, DC, July 2026.

Insurers have agreed to pay about $20.42 for this service. The price depends on where it is billed: about $20.42 from a physician practice, and about $135 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 5 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$20.42$20.42 to $20.42
FacilityA hospital or hospital-owned outpatient department$135$32.36 to $166

How much rates vary

Facilitymedian $135 · 10th to 90th $20 to $214Professionalmedian $20 · 10th to 90th $20 to $95
$20$50$100$200facility $135professional $20

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
$20.42
Median
$134.90
Typical High
$213.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$20.42
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$138.04
Typical High
$288.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$45.71
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$31.62
Typical High
$213.80
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$54.95
United
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$32.36
Typical High
$87.10
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$14.13
Typical High
$45.71

Where Washington, DC sits

The same service costs 7.9 times more in South Dakota 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.

Washington, DC· 51st of 51

$20.42

SD $162DC $20.42

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.