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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 July 2026.

How much does Red Cell Protoporphyrin Screen cost?

$7.76

Typical negotiated rate. In North Carolina, 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 $10.47 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 6 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$7.59 to $7.76
FacilityA hospital or hospital-owned outpatient department$10.47$8.32 to $20.42

How much rates vary

Facilitymedian $10 · 10th to 90th $7 to $32Professionalmedian $8 · 10th to 90th $6 to $13
$5$10$20$50$100facility $10professional $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
$7.76
Median
$9.33
Typical High
$30.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$7.76
Typical High
$12.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$30.20
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$5.25
Typical High
$6.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$19.05
Typical High
$44.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$6.17
Typical High
$14.45
Medcost
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$21.38
Medcost
Setting
Facility
Modifier
Global
Typical Low
$5.89
Median
$10.47
Typical High
$16.98
Medcost
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$12.59
Typical High
$14.13
United
Setting
Facility
Modifier
Global
Typical Low
$4.90
Median
$11.48
Typical High
$15.14
United
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$6.03
Typical High
$12.02
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$100.00

Where North Carolina 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.

North Carolina· 47th 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.