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Specialized Metabolic Blood Test

Connecticut 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?

$10.23

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $10.23 for this service. The price depends on where it is billed: about $9.77 from a physician practice, and about $22.91 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 5 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$9.77$9.77 to $10.72
FacilityA hospital or hospital-owned outpatient department$22.91$14.45 to $30.90

How much rates vary

Facilitymedian $23 · 10th to 90th $14 to $41Professionalmedian $10 · 10th to 90th $8 to $16
$10$20$50facility $23professional $10

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
$14.45
Median
$24.55
Typical High
$40.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$9.77
Typical High
$15.49
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$22.91
Typical High
$38.90
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$8.91
Typical High
$18.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$22.39
Typical High
$52.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$13.18
Typical High
$21.38
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$12.30
Typical High
$19.05
United
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$37.15
United
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$10.96
Typical High
$25.12

Where Connecticut 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.

Connecticut· 51st of 51

$10.23

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.