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Red Cell Protoporphyrin Screen

New Mexico 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 New Mexico, July 2026.

Insurers have agreed to pay about $9.77 for this service. The price depends on where it is billed: about $7.24 from a physician practice, and about $12.59 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 4 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$7.24$7.24 to $11.75
FacilityA hospital or hospital-owned outpatient department$12.59$8.71 to $29.51

How much rates vary

Facilitymedian $13 · 10th to 90th $6 to $32Professionalmedian $7 · 10th to 90th $5 to $65
$5$10$20$50facility $13professional $7

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$29.51
Typical High
$31.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$11.75
Typical High
$64.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$6.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$13.18
Typical High
$19.05
Providence
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$10.96
Typical High
$15.14
Providence
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$13.18
Typical High
$21.38
United
Setting
Facility
Modifier
Global
Typical Low
$3.72
Median
$8.71
Typical High
$14.45
United
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$5.13
Typical High
$7.24

Where New Mexico 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 Mexico· 28th 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.