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Sialic Acid Measurement

Pennsylvania 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 Pennsylvania, July 2026.

Insurers have agreed to pay about $12.59 for this service. The price depends on where it is billed: about $10.96 from a physician practice, and about $31.62 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 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$10.96$10.72 to $12.59
FacilityA hospital or hospital-owned outpatient department$31.62$16.22 to $39.81

How much rates vary

Facilitymedian $32 · 10th to 90th $11 to $83Professionalmedian $11 · 10th to 90th $10 to $25
$10$20$50$100$200facility $32professional $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
$11.48
Median
$31.62
Typical High
$50.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$10.96
Typical High
$31.62
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$95.50
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$13.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$20.42
Typical High
$45.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$16.98
Typical High
$32.36
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$13.49
Typical High
$19.50
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$13.49
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$15.14
Typical High
$23.44
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$295.12
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$33.11
Typical High
$50.12
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$11.48
Typical High
$39.81
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$72.44
Typical High
$151.36
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$13.49
Typical High
$19.05
United
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$13.49
Typical High
$16.22
United
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$10.96
Typical High
$23.44

Where Pennsylvania 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.

Pennsylvania· 34th 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.