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Procalcitonin Blood Test

Massachusetts 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?

$34.67

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $34.67 for this service. The price depends on where it is billed: about $26.92 from a physician practice, and about $70.79 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 9 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$26.92$25.70 to $31.62
FacilityA hospital or hospital-owned outpatient department$70.79$40.74 to $100

How much rates vary

Facilitymedian $71 · 10th to 90th $27 to $204Professionalmedian $27 · 10th to 90th $20 to $59
$10$20$50$100$200$500facility $71professional $27

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
$26.92
Median
$77.62
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$25.70
Typical High
$31.62
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$38.02
Typical High
$128.82
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$23.99
Typical High
$66.07
BCBS
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$66.07
Typical High
$95.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$43.65
Typical High
$69.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$32.36
Typical High
$70.79
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$208.93
Typical High
$7,079.46
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$45.71
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$81.28
Health New England
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$45.71
Typical High
$83.18
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$38.02
Typical High
$128.82
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$23.99
Typical High
$66.07
United
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$26.92
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$25.12
Typical High
$72.44

Where Massachusetts 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.

Massachusetts· 33rd of 51

$34.67

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.