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Specialized Metabolic Blood Test

Washington, DC 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?

$10.96

Typical negotiated rate. In Washington, DC, July 2026.

Insurers have agreed to pay about $10.96 for this service. The price depends on where it is billed: about $10.96 from a physician practice, and about $75.86 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$10.96$10.96 to $10.96
FacilityA hospital or hospital-owned outpatient department$75.86$17.38 to $83.18

How much rates vary

Facilitymedian $76 · 10th to 90th $11 to $89Professionalmedian $11 · 10th to 90th $11 to $38
$10$20$50$100$200facility $76professional $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
$10.96
Median
$75.86
Typical High
$89.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$10.96
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$54.95
Typical High
$120.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$24.55
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$16.98
Typical High
$112.20
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$29.51
United
Setting
Facility
Modifier
Global
Typical Low
$6.31
Median
$17.38
Typical High
$17.38
United
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$8.71
Typical High
$18.62

Where Washington, DC 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.

Washington, DC· 49th of 51

$10.96

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.