search again

Sugar Separation Test By Chromatography

Nationwide rates for HCPCS 84375

Separates the different sugars present in a sample so that each can be identified on its own, using a technique that spreads them out across a plate or paper according to how they travel. It is used when a person may not be digesting or handling particular sugars normally, including in the investigation of inherited disorders of sugar metabolism.

Rates data updated July 2026.

Facilitymedian $55 · 10th–90th $28$1620%10%10th90th$55Professionalmedian $31 · 10th–90th $14$680%10%20%10th90th$31$0.2$2.0$20.0$200.0$2.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$58.88
Typical High
$147.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$30.90
Typical High
$58.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$52.48
Typical High
$177.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$16.98
Typical High
$54.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$72.44
Typical High
$165.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$44.67
Typical High
$93.33
United
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$38.90
Typical High
$46.77
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$16.98
Typical High
$43.65