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Red Cell Protoporphyrin Screen

Illinois rates for HCPCS 84203

A screening test on red blood cells for protoporphyrin, a building block that piles up when the body cannot complete the final step of making hemoglobin. Raised levels point towards iron deficiency or lead exposure. It gives a screening answer rather than a precise measurement.

Rates data updated October 2026.

How much does Red Cell Protoporphyrin Screen cost?

$13.18

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $13.18 for this service. The price depends on where it is billed: about $8.32 from a physician practice, and about $19.95 from a hospital or other facility.

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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$8.32$6.61 to $13.49
FacilityA hospital or hospital-owned outpatient department$19.95$13.18 to $29.51

How much rates vary

Facilitymedian $20 · 10th to 90th $11 to $50Professionalmedian $8 · 10th to 90th $5 to $23
$5$10$20$50$100facility $20professional $8

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$7.94
Median
$15.14
Typical High
$29.51
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$3.98
Median
$7.08
Typical High
$14.79
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$1.58
Median
$2.82
Typical High
$5.89
Aetna
Setting
Professional
Modifier
None
Typical Low
$7.94
Median
$7.94
Typical High
$11.48
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$3.98
Median
$3.98
Typical High
$4.90
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$1.58
Median
$1.58
Typical High
$1.95
BCBS
Setting
Facility
Modifier
None
Typical Low
$11.75
Median
$18.62
Typical High
$93.33
Cigna
Setting
Facility
Modifier
None
Typical Low
$10.96
Median
$21.38
Typical High
$40.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$5.13
Median
$11.48
Typical High
$17.38
Hally Health
Setting
Professional
Modifier
None
Typical Low
$10.23
Median
$16.60
Typical High
$35.48
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$12.59
Median
$12.59
Typical High
$12.59
Molina
Setting
Professional
Modifier
None
Typical Low
$5.37
Median
$5.37
Typical High
$12.30
United
Setting
Facility
Modifier
None
Typical Low
$9.77
Median
$11.75
Typical High
$12.30
United
Setting
Professional
Modifier
None
Typical Low
$4.07
Median
$6.31
Typical High
$10.47

Where Illinois sits

The same service costs 3.6 times more in Kansas than in New Jersey. 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.

Illinois· 9th of 51

$13.18

KS $24.55NJ $6.76

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.