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Procalcitonin Blood Test

New Jersey 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?

$37.15

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $37.15 for this service. The price depends on where it is billed: about $23.99 from a physician practice, and about $105 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$23.99$19.95 to $32.36
FacilityA hospital or hospital-owned outpatient department$105$37.15 to $170

How much rates vary

Facilitymedian $105 · 10th to 90th $29 to $355Professionalmedian $24 · 10th to 90th $15 to $66
$10$100$1K$10Kfacility $105professional $24

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
$31.62
Median
$104.71
Typical High
$323.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$23.99
Typical High
$75.86
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$117.49
Typical High
$3,467.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$60.26
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$24.55
Typical High
$74.13
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$13.49
Typical High
$30.20
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$22.39
Typical High
$23.99
United
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$26.92
Typical High
$56.23
United
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$16.22
Typical High
$30.20

Where New Jersey 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.

New Jersey· 28th of 51

$37.15

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.