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Sialic Acid Measurement

New York 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?

$13.49

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $13.49 for this service. The price depends on where it is billed: about $10.23 from a physician practice, and about $22.39 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 9 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$10.23$10.00 to $14.13
FacilityA hospital or hospital-owned outpatient department$22.39$13.49 to $31.62

How much rates vary

Facilitymedian $22 · 10th to 90th $11 to $37Professionalmedian $10 · 10th to 90th $7 to $27
$10$20$50$100facility $22professional $10

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
$11.48
Median
$23.44
Typical High
$37.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.47
Typical High
$18.62
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$34.67
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$8.13
Typical High
$33.11
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$13.49
Typical High
$13.49
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$13.49
Typical High
$13.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$29.51
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$19.50
Typical High
$89.13
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$17.38
Typical High
$37.15
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$9.33
Typical High
$26.30
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$13.49
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$13.49
Typical High
$20.42
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$25.12
Typical High
$257.04
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$18.62
Typical High
$27.54
United
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$16.22
Typical High
$19.95
United
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$11.22
Typical High
$32.36
Univera
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$13.49
Typical High
$32.36
Univera
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$14.13
Typical High
$42.66

Where New York 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 York· 31st of 51

$13.49

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.