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Specialized Metabolic Blood Test

Colorado rates for HCPCS 84210

A specialized laboratory blood test that measures the level of a specific chemical compound involved in the body's metabolism. It is ordered to help evaluate a particular metabolic question raised by a patient's symptoms or other test results, often as part of a broader work-up. A standard blood sample is used for the test.

Rates data updated July 2026.

How much does Specialized Metabolic Blood Test cost?

$13.49

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $13.49 for this service. The price depends on where it is billed: about $10.96 from a physician practice, and about $38.90 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 7 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$10.96$10.00 to $12.30
FacilityA hospital or hospital-owned outpatient department$38.90$19.05 to $61.66

How much rates vary

Facilitymedian $39 · 10th to 90th $11 to $81Professionalmedian $11 · 10th to 90th $6 to $13
$10$20$50$100$200facility $39professional $11

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
$9.12
Median
$31.62
Typical High
$95.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$11.22
Typical High
$13.49
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$42.66
Typical High
$72.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$6.03
Typical High
$11.22
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$10.23
Typical High
$38.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$7.76
Typical High
$17.38
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$15.85
Typical High
$30.20
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$32.36
Typical High
$32.36
Select Health
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$26.92
Typical High
$30.20
Select Health
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$14.45
United
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$14.45
Typical High
$21.88
United
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.31
Typical High
$13.49

Where Colorado sits

The same service costs 3.9 times more in South Dakota than in Connecticut. 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.

Colorado· 34th of 51

$13.49

SD $39.81CT $10.23

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.