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Sialic Acid Measurement

Ohio 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?

$12.59

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $12.59 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 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$10.72$7.94 to $13.49
FacilityA hospital or hospital-owned outpatient department$18.62$13.49 to $29.51

How much rates vary

Facilitymedian $19 · 10th to 90th $11 to $32Professionalmedian $11 · 10th to 90th $7 to $30
$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
$10.96
Median
$23.99
Typical High
$32.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$11.48
Typical High
$31.62
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$14.13
Typical High
$24.55
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$8.32
Typical High
$17.38
CareSource
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$9.12
Typical High
$15.49
CareSource
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$18.20
Typical High
$18.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$17.38
Typical High
$56.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$8.71
Typical High
$25.70
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$17.78
Typical High
$56.23
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$8.71
Typical High
$25.12
Molina
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$10.96
Typical High
$16.60
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$14.13
Typical High
$26.92
United
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$13.49
Typical High
$19.95
United
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$8.13
Typical High
$18.62

Where Ohio 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.

Ohio· 36th of 51

$12.59

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.