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Red Cell Protoporphyrin Screen

New Jersey 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?

$10.23

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $10.23 for this service. The price depends on where it is billed: about $7.76 from a physician practice, and about $21.88 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$6.61 to $10.23
FacilityA hospital or hospital-owned outpatient department$21.88$12.88 to $56.23

How much rates vary

Facilitymedian $22 · 10th to 90th $10 to $117Professionalmedian $8 · 10th to 90th $6 to $25
$10$100$1K$10Kfacility $22professional $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
$12.59
Median
$16.60
Typical High
$69.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$8.32
Typical High
$24.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$21.88
Typical High
$44.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$8.51
Typical High
$23.99
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$4.90
Typical High
$9.77
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$8.51
Typical High
$9.55
United
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$9.77
Typical High
$19.95
United
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$5.89
Typical High
$12.30

Where New Jersey 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.

New Jersey· 23rd of 51

$10.23

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.