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Procalcitonin Blood Test

Rhode Island 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?

$28.18

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $28.18 for this service. The price depends on where it is billed: about $23.99 from a physician practice, and about $33.11 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$23.99$17.38 to $39.81
FacilityA hospital or hospital-owned outpatient department$33.11$32.36 to $36.31

How much rates vary

Facilitymedian $33 · 10th to 90th $32 to $81Professionalmedian $24 · 10th to 90th $14 to $46
$10$20$50$100facility $33professional $24

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$23.99
Median
$28.18
Typical High
$28.18
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$31.62
Median
$33.11
Typical High
$36.31
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$15.49
Median
$20.42
Typical High
$53.70
Cigna
Setting
Facility
Modifier
None
Typical Low
$64.57
Median
$81.28
Typical High
$112.20
Cigna
Setting
Professional
Modifier
None
Typical Low
$19.50
Median
$38.90
Typical High
$40.74
United
Setting
Facility
Modifier
None
Typical Low
$32.36
Median
$32.36
Typical High
$32.36
United
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$16.60
Typical High
$45.71

Where Rhode Island 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.

Rhode Island· 25th of 51

$28.18

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.