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Procalcitonin Blood Test

South Dakota 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?

$162

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $182 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 7 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$52.48$25.70 to $74.13
FacilityA hospital or hospital-owned outpatient department$182$148 to $209

How much rates vary

Facilitymedian $182 · 10th to 90th $98 to $229Professionalmedian $52 · 10th to 90th $18 to $170
$20$50$100$200facility $182professional $52

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
$109.65
Median
$190.55
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$32.36
Typical High
$169.82
Avera
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$27.54
Typical High
$40.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$52.48
Typical High
$66.07
Medica
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$102.33
Typical High
$234.42
Medica
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$17.38
Typical High
$32.36
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$66.07
Typical High
$74.13
United
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$32.36
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$24.55
Typical High
$36.31
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$26.92

Where South Dakota 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.

South Dakota· 1st of 51

$162

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.