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Sialic Acid Measurement

New Jersey 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?

$16.22

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $16.22 for this service. The price depends on where it is billed: about $11.48 from a physician practice, and about $29.51 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 5 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$11.48$10.47 to $15.85
FacilityA hospital or hospital-owned outpatient department$29.51$20.42 to $81.28

How much rates vary

Facilitymedian $30 · 10th to 90th $13 to $186Professionalmedian $11 · 10th to 90th $9 to $38
$10$100$1K$10Kfacility $30professional $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
$17.38
Median
$30.90
Typical High
$95.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$11.48
Typical High
$38.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$29.51
Typical High
$61.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$13.18
Typical High
$37.15
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$6.76
Typical High
$15.14
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$11.75
Typical High
$15.14
United
Setting
Facility
Modifier
Global
Typical Low
$6.31
Median
$13.49
Typical High
$29.51
United
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$8.13
Typical High
$19.50

Where New Jersey 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.

New Jersey· 15th of 51

$16.22

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.