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Sialic Acid Measurement

Massachusetts rates for HCPCS 84275

A laboratory test that measures sialic acid, a sugar-like molecule that coats the surface of cells and circulates attached to proteins in body fluids. It is measured in specialized work-ups, including when a rare inherited disorder of sialic acid handling is being considered.

Rates data updated July 2026.

How much does Sialic Acid Measurement cost?

$15.49

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $15.49 for this service. The price depends on where it is billed: about $13.49 from a physician practice, and about $33.11 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$13.49$12.88 to $20.42
FacilityA hospital or hospital-owned outpatient department$33.11$18.62 to $40.74

How much rates vary

Facilitymedian $33 · 10th to 90th $13 to $58Professionalmedian $13 · 10th to 90th $12 to $41
$10$50$200$1Kfacility $33professional $13

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
$12.88
Median
$30.20
Typical High
$57.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.88
Typical High
$60.26
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$19.05
Typical High
$100.00
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$13.49
Typical High
$33.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$33.11
Typical High
$52.48
BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$17.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$21.38
Typical High
$34.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$15.85
Typical High
$35.48
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$72.44
Typical High
$7,079.46
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$22.91
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$40.74
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$19.05
Typical High
$100.00
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$13.49
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$13.49
Typical High
$19.50
United
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$13.49
Typical High
$33.88

Where Massachusetts sits

The same service costs 2.6 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.

Massachusetts· 19th of 51

$15.49

SD $26.30DC $10.00

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.