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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 October 2026.

How much does Procalcitonin Blood Test cost?

$19.95

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $19.95 for this service. The price depends on where it is billed: about $19.05 from a physician practice, and about $57.54 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$19.05$14.79 to $21.88
FacilityA hospital or hospital-owned outpatient department$57.54$23.99 to $129

How much rates vary

Facilitymedian $58 · 10th to 90th $15 to $1,995Professionalmedian $19 · 10th to 90th $14 to $30
$10$50$200$1Kfacility $58professional $19

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
$14.79
Median
$23.99
Typical High
$37.15
Aetna
Setting
Professional
Modifier
None
Typical Low
$14.79
Median
$19.95
Typical High
$32.36
AmeriHealth
Setting
Facility
Modifier
None
Typical Low
$32.36
Median
$138.04
Typical High
$3,715.35
Cigna
Setting
Facility
Modifier
None
Typical Low
$26.92
Median
$60.26
Typical High
$131.83
Cigna
Setting
Professional
Modifier
None
Typical Low
$15.14
Median
$28.84
Typical High
$74.13
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$10.96
Median
$13.49
Typical High
$30.20
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$25.12
Median
$151.36
Typical High
$218.78
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$19.05
Median
$19.05
Typical High
$19.05
United
Setting
Facility
Modifier
None
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
United
Setting
Professional
Modifier
None
Typical Low
$10.96
Median
$16.22
Typical High
$22.39

Where New Jersey 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.

New Jersey· 49th of 51

$19.95

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.