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Red Cell Protoporphyrin Screen

Ohio 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?

$8.91

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $8.91 for this service. The price depends on where it is billed: about $7.76 from a physician practice, and about $13.49 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 8 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$5.01 to $9.33
FacilityA hospital or hospital-owned outpatient department$13.49$9.77 to $21.38

How much rates vary

Facilitymedian $13 · 10th to 90th $8 to $23Professionalmedian $8 · 10th to 90th $4 to $20
$5$10$20facility $13professional $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
$7.94
Median
$17.38
Typical High
$23.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$8.32
Typical High
$21.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$10.23
Typical High
$17.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$5.37
Typical High
$12.30
CareSource
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$6.46
Typical High
$11.22
CareSource
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$13.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$12.59
Typical High
$48.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$5.62
Typical High
$16.60
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$6.31
Median
$12.88
Typical High
$39.81
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$5.62
Typical High
$15.85
Molina
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$8.13
Typical High
$11.75
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$10.23
Typical High
$19.50
United
Setting
Facility
Modifier
Global
Typical Low
$4.90
Median
$9.77
Typical High
$14.45
United
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$5.89
Typical High
$12.02

Where Ohio 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.

Ohio· 35th of 51

$8.91

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.