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Procalcitonin Blood Test

Illinois 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?

$52.48

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $52.48 for this service. The price depends on where it is billed: about $22.39 from a physician practice, and about $158 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 7 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$22.39$18.62 to $32.36
FacilityA hospital or hospital-owned outpatient department$158$46.77 to $288

How much rates vary

Facilitymedian $158 · 10th to 90th $28 to $398Professionalmedian $22 · 10th to 90th $3 to $56
$5$10$20$50$100$200$500facility $158professional $22

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
$28.18
Median
$165.96
Typical High
$407.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$26.92
Typical High
$56.23
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$18.20
Typical High
$36.31
BCBS
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$112.20
Typical High
$338.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$18.62
Typical High
$20.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$61.66
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$31.62
Typical High
$48.98
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$69.18
Typical High
$199.53
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
Molina
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$26.92
Typical High
$33.88
United
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$26.92
Typical High
$54.95
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$16.22
Typical High
$26.92

Where Illinois 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.

Illinois· 12th of 51

$52.48

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.