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Sialic Acid Measurement

West 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?

$10.96

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $10.96 for this service. The price depends on where it is billed: about $10.72 from a physician practice, and about $16.98 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$10.72$10.00 to $10.96
FacilityA hospital or hospital-owned outpatient department$16.98$10.96 to $19.95

How much rates vary

Facilitymedian $17 · 10th to 90th $11 to $20Professionalmedian $11 · 10th to 90th $8 to $13
$10$20$50$100facility $17professional $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
$16.98
Typical High
$19.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.72
Typical High
$12.59
CareSource
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$18.20
Typical High
$18.20
CareSource
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$24.55
Typical High
$40.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$25.70
Typical High
$89.13
United
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$15.49
United
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$8.13
Typical High
$18.62

Where West 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.

West Virginia· 45th of 51

$10.96

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.