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Red Cell Protoporphyrin Screen

Pennsylvania 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?

$9.12

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $9.12 for this service. The price depends on where it is billed: about $7.94 from a physician practice, and about $20.42 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$7.94$7.76 to $9.12
FacilityA hospital or hospital-owned outpatient department$20.42$11.75 to $28.84

How much rates vary

Facilitymedian $20 · 10th to 90th $8 to $55Professionalmedian $8 · 10th to 90th $7 to $18
$5$10$20$50$100facility $20professional $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
$8.32
Median
$22.39
Typical High
$36.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$7.94
Typical High
$22.91
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$61.66
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$8.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$14.13
Typical High
$33.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$11.22
Typical High
$20.89
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$5.75
Typical High
$14.13
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$9.77
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$9.77
Typical High
$16.98
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$22.39
Typical High
$36.31
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$7.94
Typical High
$28.84
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$47.86
Typical High
$83.18
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$9.77
Typical High
$12.30
United
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$9.77
Typical High
$11.75
United
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$6.31
Typical High
$15.14

Where Pennsylvania 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.

Pennsylvania· 33rd of 51

$9.12

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.