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Specialized Metabolic Blood Test

Idaho 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?

$16.60

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $16.60 for this service. The price depends on where it is billed: about $14.45 from a physician practice, and about $26.92 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$14.45$13.49 to $28.18
FacilityA hospital or hospital-owned outpatient department$26.92$16.98 to $38.02

How much rates vary

Facilitymedian $27 · 10th to 90th $14 to $54Professionalmedian $14 · 10th to 90th $10 to $28
$10$20$50facility $27professional $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
$17.38
Median
$28.84
Typical High
$38.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$16.60
Typical High
$28.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$37.15
Typical High
$57.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$14.45
Typical High
$85.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$30.20
Typical High
$56.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$10.72
Typical High
$21.38
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$18.62
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$17.38
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$28.84
Typical High
$52.48
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$12.30
Typical High
$15.14
Select Health
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$43.65
Select Health
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$14.45
United
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.46
Typical High
$17.78

Where Idaho 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.

Idaho· 19th of 51

$16.60

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.