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Blood Protein Pattern Test

Utah rates for HCPCS 84165

This lab test separates the different proteins in a blood sample using an electrical current, then measures how much of each type is present. The resulting pattern helps clinicians look for abnormal protein levels that can point to conditions affecting the immune system, liver, kidneys, or bone marrow.

Rates data updated July 2026.

Facilitymedian $95 · 10th–90th $20$1450%10%10th90th$95Professionalmedian $10 · 10th–90th $8$130%20%10th90th$10$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$95.50
Typical High
$144.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$9.77
Typical High
$12.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$11.22
Typical High
$29.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$16.60
Typical High
$48.98
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$47.86
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$9.12
Typical High
$9.55
Select Health
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$7.59
Select Health
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$10.72
Typical High
$13.80
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$11.48
Typical High
$16.22
United
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$8.91
Typical High
$30.20
United
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$6.17
Typical High
$15.14