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Procalcitonin Blood Test

Maine 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?

$26.92

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $26.92 for this service. The price depends on where it is billed: about $26.92 from a physician practice, and about $43.65 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$26.92$21.88 to $31.62
FacilityA hospital or hospital-owned outpatient department$43.65$26.92 to $123

How much rates vary

Facilitymedian $44 · 10th to 90th $22 to $191Professionalmedian $27 · 10th to 90th $16 to $36
$10$20$50$100$200$500facility $44professional $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
$21.88
Median
$35.48
Typical High
$123.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$26.92
Typical High
$35.48
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$177.83
Typical High
$190.55
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$15.49
Typical High
$34.67
Cigna
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$42.66
Typical High
$61.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$27.54
Typical High
$38.90
Community Health Options
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$26.92
Typical High
$33.11
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$26.92
Typical High
$234.42
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$30.90
Typical High
$40.74
United
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
United
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$26.92
Typical High
$54.95

Where Maine 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.

Maine· 46th of 51

$26.92

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.