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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 October 2026.

How much does Procalcitonin Blood Test cost?

$21.88

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $21.88 for this service. The price depends on where it is billed: about $18.62 from a physician practice, and about $34.67 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$18.62$13.18 to $25.12
FacilityA hospital or hospital-owned outpatient department$34.67$26.92 to $64.57

How much rates vary

Facilitymedian $35 · 10th to 90th $25 to $123Professionalmedian $19 · 10th to 90th $13 to $38
$10$100$1K$10Kfacility $35professional $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
$20.42
Median
$34.67
Typical High
$69.18
Aetna
Setting
Professional
Modifier
None
Typical Low
$19.95
Median
$25.12
Typical High
$48.98
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$26.92
Median
$26.92
Typical High
$134.90
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$13.18
Median
$16.22
Typical High
$20.89
CareFirst
Setting
Professional
Modifier
None
Typical Low
$19.50
Median
$21.88
Typical High
$38.02
Cigna
Setting
Facility
Modifier
None
Typical Low
$27.54
Median
$64.57
Typical High
$104.71
Cigna
Setting
Professional
Modifier
None
Typical Low
$14.79
Median
$20.42
Typical High
$31.62
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$26.92
Median
$32.36
Typical High
$40.74
Medcost
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$27.54
Typical High
$38.90
Medcost
Setting
Facility
Modifier
None
Typical Low
$19.95
Median
$25.12
Typical High
$53.70
Medcost
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$21.38
Typical High
$21.38
Sentara
Setting
Facility
Modifier
None
Typical Low
$20.89
Median
$32.36
Typical High
$7,413.10
Sentara
Setting
Professional
Modifier
None
Typical Low
$20.89
Median
$32.36
Typical High
$7,413.10
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
$14.45
Typical High
$26.92

Where Virginia 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.

Virginia· 42nd of 51

$21.88

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.