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Sialic Acid Measurement

Rhode Island 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?

$15.49

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $15.49 for this service. The price depends on where it is billed: about $14.13 from a physician practice, and about $39.81 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 4 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$14.13$10.00 to $14.13
FacilityA hospital or hospital-owned outpatient department$39.81$17.38 to $77.62

How much rates vary

Facilitymedian $40 · 10th to 90th $16 to $85Professionalmedian $14 · 10th to 90th $10 to $26
$10$20$50facility $40professional $14

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
$21.88
Median
$54.95
Typical High
$85.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$39.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$16.22
Typical High
$27.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$10.00
Typical High
$22.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$32.36
Typical High
$56.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$14.79
Typical High
$20.42
United
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$26.92
United
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$14.79
Typical High
$26.30

Where Rhode Island 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.

Rhode Island· 21st of 51

$15.49

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.