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Procalcitonin Blood Test

Georgia 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?

$26.30

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $26.30 for this service. The price depends on where it is billed: about $21.38 from a physician practice, and about $47.86 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$21.38$16.60 to $25.70
FacilityA hospital or hospital-owned outpatient department$47.86$30.90 to $162

How much rates vary

Facilitymedian $48 · 10th to 90th $23 to $407Professionalmedian $21 · 10th to 90th $13 to $42
$10$50$200$1K$5Kfacility $48professional $21

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
$24.55
Median
$117.49
Typical High
$457.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$22.91
Typical High
$51.29
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$38.02
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$36.31
Typical High
$48.98
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$14.13
Typical High
$40.74
CareSource
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
CareSource
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$26.92
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$53.70
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$20.42
Typical High
$60.26
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$38.90
Typical High
$52.48
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$741.31
Typical High
$2,570.40
United
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$24.55
Typical High
$32.36
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$16.22
Typical High
$27.54

Where Georgia 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.

Georgia· 49th of 51

$26.30

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.