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Procalcitonin Blood Test

North Carolina 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?

$50.12

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $50.12 for this service. The price depends on where it is billed: about $21.88 from a physician practice, and about $174 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 8 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$21.88$21.88 to $34.67
FacilityA hospital or hospital-owned outpatient department$174$44.67 to $257

How much rates vary

Facilitymedian $174 · 10th to 90th $22 to $339Professionalmedian $22 · 10th to 90th $18 to $41
$20$50$100$200$500facility $174professional $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
$23.44
Median
$190.55
Typical High
$338.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$21.88
Typical High
$40.74
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$18.62
Typical High
$169.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$114.82
Typical High
$114.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$18.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$52.48
Typical High
$123.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$19.05
Typical High
$41.69
Medcost
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Medcost
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$21.88
Typical High
$27.54
Medcost
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$29.51
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$27.54
Typical High
$38.02
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$16.22
Typical High
$36.31
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82

Where North Carolina 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.

North Carolina· 16th of 51

$50.12

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.