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Red Cell Protoporphyrin Screen

North Carolina 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?

$7.76

Typical negotiated rate. In North Carolina, October 2026.

Insurers have agreed to pay about $7.76 for this service. The price depends on where it is billed: about $6.46 from a physician practice, and about $13.18 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$6.46$5.89 to $8.13
FacilityA hospital or hospital-owned outpatient department$13.18$7.76 to $26.92

How much rates vary

Facilitymedian $13 · 10th to 90th $8 to $45Professionalmedian $6 · 10th to 90th $5 to $13
$5$10$20$50facility $13professional $6

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
$7.76
Median
$7.76
Typical High
$22.39
Aetna
Setting
Professional
Modifier
None
Typical Low
$7.76
Median
$7.76
Typical High
$7.76
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$3.89
Median
$3.89
Typical High
$3.89
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$1.55
Median
$1.55
Typical High
$1.55
BCBS North Carolina
Setting
Facility
Modifier
None
Typical Low
$21.88
Median
$37.15
Typical High
$37.15
BCBS North Carolina
Setting
Professional
Modifier
None
Typical Low
$4.37
Median
$5.25
Typical High
$6.31
Cigna
Setting
Facility
Modifier
None
Typical Low
$6.61
Median
$21.38
Typical High
$44.67
Cigna
Setting
Professional
Modifier
None
Typical Low
$4.57
Median
$5.89
Typical High
$14.45
Medcost
Setting
Professional
Modifier
None
Typical Low
$7.08
Median
$21.38
Typical High
$21.38
Medcost
Setting
Facility
Modifier
None
Typical Low
$6.31
Median
$7.76
Typical High
$18.20
Medcost
Setting
Professional
Modifier
None
Typical Low
$6.92
Median
$12.30
Typical High
$23.99
Oscar Health
Setting
Facility
Modifier
None
Typical Low
$11.75
Median
$11.75
Typical High
$11.75
United
Setting
Professional
Modifier
None
Typical Low
$4.07
Median
$6.03
Typical High
$11.75

Where North Carolina 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.

North Carolina· 40th of 51

$7.76

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.