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Red Cell Protoporphyrin Screen

Virginia 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?

$8.32

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $8.32 for this service. The price depends on where it is billed: about $7.24 from a physician practice, and about $11.48 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$7.24$7.08 to $8.32
FacilityA hospital or hospital-owned outpatient department$11.48$9.77 to $23.99

How much rates vary

Facilitymedian $11 · 10th to 90th $8 to $51Professionalmedian $7 · 10th to 90th $4 to $23
$10$100$1K$10Kfacility $11professional $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
$8.32
Median
$21.38
Typical High
$51.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$7.76
Typical High
$22.91
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$38.90
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$7.08
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$40.74
Typical High
$54.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$22.39
Typical High
$44.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$6.31
Typical High
$13.80
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$11.75
Typical High
$14.45
Medcost
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$14.45
Typical High
$16.98
Medcost
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$10.47
Typical High
$10.47
Medcost
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$11.22
Typical High
$20.42
Sentara
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$12.88
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$12.88
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$9.77
Typical High
$14.79
United
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$5.25
Typical High
$9.12

Where Virginia 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.

Virginia· 38th of 51

$8.32

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.