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Red Cell Protoporphyrin Screen

Massachusetts 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?

$9.77

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $9.77 for this service. The price depends on where it is billed: about $9.77 from a physician practice, and about $20.89 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 8 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$9.77$8.91 to $14.79
FacilityA hospital or hospital-owned outpatient department$20.89$13.49 to $28.18

How much rates vary

Facilitymedian $21 · 10th to 90th $8 to $39Professionalmedian $10 · 10th to 90th $7 to $27
$5$20$100$500$2Kfacility $21professional $10

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
$8.13
Median
$22.39
Typical High
$41.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$8.91
Typical High
$38.90
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$12.02
Typical High
$100.00
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$9.77
Typical High
$23.99
BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$20.89
Typical High
$33.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$9.12
Typical High
$10.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$13.49
Typical High
$22.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$11.22
Typical High
$25.12
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$57.54
Typical High
$7,079.46
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$16.60
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$26.30
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$12.02
Typical High
$100.00
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$9.77
Typical High
$23.99
United
Setting
Facility
Modifier
Global
Typical Low
$4.90
Median
$9.77
Typical High
$12.59
United
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$8.71
Typical High
$22.39

Where Massachusetts 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.

Massachusetts· 26th of 51

$9.77

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.