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Sialic Acid Measurement

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $12.59 for this service. The price depends on where it is billed: about $10.00 from a physician practice, and about $15.85 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$10.00$9.77 to $12.59
FacilityA hospital or hospital-owned outpatient department$15.85$13.49 to $33.88

How much rates vary

Facilitymedian $16 · 10th to 90th $13 to $71Professionalmedian $10 · 10th to 90th $7 to $30
$10$100$1K$10Kfacility $16professional $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
$12.59
Median
$33.11
Typical High
$81.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.47
Typical High
$25.70
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$53.70
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$6.61
Typical High
$10.23
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$63.10
Typical High
$85.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$34.67
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$9.77
Typical High
$19.95
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$16.22
Typical High
$19.95
Medcost
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$22.39
Typical High
$26.30
Medcost
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$14.45
Typical High
$14.45
Medcost
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$13.80
Typical High
$28.18
Sentara
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$19.50
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$19.05
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$13.49
Typical High
$22.91
United
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$8.13
Typical High
$14.13

Where Virginia 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.

Virginia· 33rd 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.