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Red Cell Protoporphyrin Screen

New York 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?

$9.55

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $9.55 for this service. The price depends on where it is billed: about $7.08 from a physician practice, and about $16.60 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 9 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$7.08$6.31 to $9.77
FacilityA hospital or hospital-owned outpatient department$16.60$9.77 to $22.39

How much rates vary

Facilitymedian $17 · 10th to 90th $8 to $27Professionalmedian $7 · 10th to 90th $4 to $18
$5$10$20$50$100facility $17professional $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. 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
$16.98
Typical High
$26.92
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$7.59
Typical High
$12.02
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$25.12
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$5.01
Typical High
$22.91
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$5.89
Median
$9.77
Typical High
$9.77
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$9.77
Typical High
$9.77
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$25.12
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$12.88
Typical High
$57.54
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$10.23
Typical High
$21.88
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$6.76
Typical High
$19.05
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$9.77
Typical High
$11.75
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$18.20
Typical High
$257.04
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$14.13
Typical High
$19.95
United
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$11.75
Typical High
$14.13
United
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$6.31
Typical High
$21.88
Univera
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$11.22
Typical High
$27.54
Univera
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$10.23
Typical High
$31.62

Where New York 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 York· 30th of 51

$9.55

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.