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Specialized Metabolic Blood Test

Iowa 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?

$17.38

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $17.38 for this service. The price depends on where it is billed: about $14.13 from a physician practice, and about $25.70 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$14.13$11.22 to $29.51
FacilityA hospital or hospital-owned outpatient department$25.70$14.45 to $38.02

How much rates vary

Facilitymedian $26 · 10th to 90th $11 to $52Professionalmedian $14 · 10th to 90th $9 to $95
$10$20$50$100facility $26professional $14

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
$11.22
Median
$33.88
Typical High
$52.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$11.22
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$28.18
Typical High
$35.48
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$25.12
Typical High
$30.20
Medica
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$17.38
Typical High
$38.90
Medica
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$14.45
Typical High
$31.62
Midlands
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$17.78
Typical High
$19.05
Midlands
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$13.18
United
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$32.36
United
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$8.71
Typical High
$33.11
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$14.45
Typical High
$14.45

Where Iowa 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.

Iowa· 15th of 51

$17.38

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.