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Specialized Protein Pattern Test

Vermont rates for HCPCS 86335

This laboratory test separates and analyzes different proteins in a body fluid sample, such as urine or cerebrospinal fluid, using an electrical field and a specialized electrophoresis technique to produce a detailed pattern showing the types and relative amounts of specific proteins present. It is a more advanced technique than a basic protein separation test and is used to investigate certain immune or protein-related conditions.

Rates data updated July 2026.

How much does Specialized Protein Pattern Test cost?

$32.36

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $32.36 for this service. The price depends on where it is billed: about $32.36 from a physician practice, and about $115 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 5 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$32.36$29.51 to $42.66
FacilityA hospital or hospital-owned outpatient department$115$93.33 to $229

How much rates vary

Facilitymedian $115 · 10th to 90th $10 to $501Professionalmedian $32 · 10th to 90th $30 to $51
$10.0$20.0$50.0$100.0$200.0$500.0facility $115professional $32

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$32.36
Typical High
$51.29
BCBS
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$117.49
Typical High
$524.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$114.82
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$45.71
Typical High
$67.61
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$22.39
United
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$6.17
Typical High
$10.23
United
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$33.88
Typical High
$79.43

Where Vermont sits

The same service costs 3.0 times more in Nebraska than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Vermont $32.36 · 37th of 51
NE $75.86DC $25.70

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.