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Red Cell Protoporphyrin Screen

Kentucky 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 July 2026.

How much does Red Cell Protoporphyrin Screen cost?

$7.76

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $7.76 for this service. The price depends on where it is billed: about $7.76 from a physician practice, and about $9.12 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$7.76$4.27 to $8.91
FacilityA hospital or hospital-owned outpatient department$9.12$7.94 to $20.42

How much rates vary

Facilitymedian $9 · 10th to 90th $8 to $23Professionalmedian $8 · 10th to 90th $4 to $13
$5$10$20$50facility $9professional $8

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
$7.94
Median
$7.94
Typical High
$23.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$7.94
Typical High
$38.90
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$9.77
Typical High
$10.23
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$12.02
CareSource
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$11.75
Typical High
$13.49
CareSource
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$12.30
Typical High
$19.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$50.12
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$57.54
Typical High
$57.54
United
Setting
Facility
Modifier
Global
Typical Low
$4.37
Median
$9.77
Typical High
$9.77
United
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$7.24
Typical High
$12.02

Where Kentucky sits

The same service costs 2.2 times more in South Dakota than in Maryland. 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.

Kentucky· 46th of 51

$7.76

SD $15.85MD $7.24

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.