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Procalcitonin Blood Test

Virginia 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?

$31.62

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $31.62 for this service. The price depends on where it is billed: about $20.42 from a physician practice, and about $74.13 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$20.42$20.42 to $25.12
FacilityA hospital or hospital-owned outpatient department$74.13$31.62 to $162

How much rates vary

Facilitymedian $74 · 10th to 90th $27 to $263Professionalmedian $20 · 10th to 90th $13 to $72
$20$100$500$2K$10Kfacility $74professional $20

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
$93.33
Typical High
$288.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$21.38
Typical High
$72.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$109.65
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$20.89
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$128.82
Typical High
$173.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$69.18
Typical High
$123.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$19.05
Typical High
$31.62
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$32.36
Typical High
$40.74
Medcost
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$38.90
Medcost
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$26.92
Medcost
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$57.54
Sentara
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$35.48
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$35.48
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$26.92
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$13.49
Typical High
$26.92

Where Virginia 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.

Virginia· 39th of 51

$31.62

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.