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Sialic Acid Measurement

North Carolina 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?

$10.72

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $10.72 for this service. The price depends on where it is billed: about $10.72 from a physician practice, and about $18.62 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 6 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$10.72$10.72 to $12.02
FacilityA hospital or hospital-owned outpatient department$18.62$11.75 to $42.66

How much rates vary

Facilitymedian $19 · 10th to 90th $11 to $45Professionalmedian $11 · 10th to 90th $9 to $18
$10$20$50$100facility $19professional $11

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
$10.72
Median
$18.62
Typical High
$42.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$17.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$30.90
Typical High
$50.12
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$8.71
Typical High
$19.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$26.30
Typical High
$61.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$9.33
Typical High
$20.42
Medcost
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$25.12
Typical High
$36.31
Medcost
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$14.45
Typical High
$26.30
Medcost
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$15.14
Typical High
$16.98
United
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$17.78
Typical High
$23.44
United
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$9.33
Typical High
$18.62
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$100.00

Where North Carolina 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.

North Carolina· 48th of 51

$10.72

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.