C-peptide (protein) level
Medicare pricing data for 1,185 providers across 45 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
C-peptide (protein) level (HCPCS code 84681) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $20.34, but hospitals typically charge $87.32 — a 4.3x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $20.34, your out-of-pocket cost would be approximately $4.07. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 4.3x more than what Medicare allows for this procedure. Medicare actually pays $20.34 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Idaho | $20 | $93 | 15 | 241 | +0.2% |
| Indiana | $20 | $103 | 9 | 537 | +0.2% |
| Iowa | $20 | $52 | 6 | 98 | +0.2% |
| Kansas | $20 | $80 | 9 | 3,230 | +0.2% |
| Louisiana | $20 | $98 | 13 | 248 | +0.2% |
| Maine | $20 | $47 | 2 | 46 | +0.2% |
| Maryland | $20 | $73 | 7 | 2,058 | +0.2% |
| Missouri | $20 | $45 | 9 | 172 | +0.2% |
| New Hampshire | $20 | $83 | 9 | 36 | +0.2% |
| New Mexico | $20 | $71 | 3 | 101 | +0.2% |
| North Dakota | $20 | $59 | 5 | 90 | +0.2% |
| Pennsylvania | $20 | $57 | 7 | 1,273 | +0.2% |
| Rhode Island | $20 | $57 | 1 | 45 | +0.2% |
| Colorado | $20 | $120 | 8 | 797 | +0.2% |
| Florida | $20 | $66 | 112 | 25,374 | +0.2% |
| Illinois | $20 | $72 | 51 | 2,823 | +0.2% |
| Massachusetts | $20 | $44 | 7 | 8,285 | +0.2% |
| Nevada | $20 | $72 | 4 | 1,214 | +0.2% |
| Washington | $20 | $86 | 7 | 1,933 | +0.2% |
| Georgia | $20 | $75 | 20 | 5,872 | +0.1% |
| New Jersey | $20 | $85 | 86 | 18,927 | +0.1% |
| Ohio | $20 | $136 | 48 | 11,038 | +0.1% |
| California | $20 | $79 | 88 | 15,760 | +0.1% |
| New York | $20 | $109 | 56 | 14,956 | -0.1% |
| Puerto Rico | $20 | $25 | 71 | 153 | -0.1% |
| North Carolina | $20 | $112 | 35 | 8,911 | -0.1% |
| Texas | $20 | $95 | 63 | 13,895 | -0.1% |
| South Dakota | $20 | $99 | 4 | 98 | -0.2% |
| Utah | $20 | $36 | 27 | 205 | -0.2% |
| Oklahoma | $20 | $123 | 10 | 1,047 | -0.2% |
| South Carolina | $20 | $55 | 22 | 1,224 | -0.3% |
| Arizona | $20 | $105 | 15 | 6,403 | -0.3% |
| Hawaii | $20 | $71 | 2 | 207 | -0.3% |
| Kentucky | $20 | $66 | 16 | 1,864 | -0.3% |
| Tennessee | $20 | $94 | 111 | 2,327 | -0.5% |
| Alabama | $20 | $107 | 34 | 4,612 | -0.6% |
| Minnesota | $20 | $163 | 96 | 604 | -0.6% |
| Oregon | $20 | $67 | 6 | 304 | -1.3% |
| Mississippi | $20 | $78 | 18 | 195 | -1.4% |
| Virginia | $20 | $40 | 18 | 1,655 | -1.6% |
| Wisconsin | $20 | $103 | 11 | 513 | -1.6% |
| Arkansas | $20 | $47 | 14 | 104 | -1.8% |
| Nebraska | $20 | $88 | 3 | 46 | -1.9% |
| Alaska | $19 | $136 | 5 | 29 | -4.5% |
| Michigan | $19 | $52 | 15 | 226 | -5.6% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber