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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 October 2026.

How much does Procalcitonin Blood Test cost?

$21.88

Typical negotiated rate. In Maine, October 2026.

Insurers have agreed to pay about $21.88 for this service. The price depends on where it is billed: about $16.22 from a physician practice, and about $33.88 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$16.22$13.18 to $26.92
FacilityA hospital or hospital-owned outpatient department$33.88$26.30 to $39.81

How much rates vary

Facilitymedian $34 · 10th to 90th $22 to $158Professionalmedian $16 · 10th to 90th $11 to $39
$10$20$50$100$200facility $34professional $16

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$21.88
Median
$21.88
Typical High
$26.30
Aetna
Setting
Professional
Modifier
None
Typical Low
$21.88
Median
$21.88
Typical High
$32.36
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$26.30
Median
$35.48
Typical High
$169.82
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$13.18
Typical High
$16.22
Cigna
Setting
Facility
Modifier
None
Typical Low
$41.69
Median
$42.66
Typical High
$61.66
Cigna
Setting
Professional
Modifier
None
Typical Low
$22.39
Median
$27.54
Typical High
$38.90
Community Health Options
Setting
Facility
Modifier
None
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$16.22
Median
$21.88
Typical High
$64.57
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$21.88
Median
$21.88
Typical High
$35.48
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$21.88
Median
$21.88
Typical High
$35.48
United
Setting
Professional
Modifier
None
Typical Low
$16.22
Median
$21.88
Typical High
$64.57

Where Maine sits

The same service costs 4.9 times more in Minnesota than in Georgia. 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· 45th of 51

$21.88

MN $89.13GA $18.20

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.