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Procalcitonin Blood Test

Montana 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?

$40.74

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $40.74 for this service. The price depends on where it is billed: about $36.31 from a physician practice, and about $95.50 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 6 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$36.31$32.36 to $85.11
FacilityA hospital or hospital-owned outpatient department$95.50$40.74 to $166

How much rates vary

Facilitymedian $95 · 10th to 90th $34 to $269Professionalmedian $36 · 10th to 90th $32 to $162
$10.0$100.0$1.0K$10.0K$100.0Kfacility $95professional $36

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
$91.20
Median
$158.49
Typical High
$302.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$40.74
Typical High
$177.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$95.50
Typical High
$81,283.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$46.77
Typical High
$154.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$31.62
Typical High
$39.81
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$38.02
Typical High
$83.18
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$38.02
Typical High
$83.18
Providence
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$52.48
Typical High
$154.88
Providence
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$39.81
United
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.75
Typical High
$27.54

Where Montana sits

The same service costs 7.9 times more in South Dakota than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Montana $40.74 · 23rd of 51
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.