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Specialized Metabolic Blood Test

Illinois 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?

$14.45

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $14.45 for this service. The price depends on where it is billed: about $11.22 from a physician practice, and about $23.99 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 6 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$11.22$9.12 to $14.79
FacilityA hospital or hospital-owned outpatient department$23.99$17.38 to $30.90

How much rates vary

Facilitymedian $24 · 10th to 90th $13 to $60Professionalmedian $11 · 10th to 90th $3 to $27
$5$10$20$50$100facility $24professional $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
$12.59
Median
$23.99
Typical High
$39.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$12.59
Typical High
$29.51
BCBS
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$30.20
Typical High
$134.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$10.00
Typical High
$11.22
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$30.20
Typical High
$67.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$16.60
Typical High
$22.91
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$22.91
Typical High
$102.33
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Molina
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$18.20
United
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$14.45
Typical High
$28.84
United
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$8.71
Typical High
$14.45

Where Illinois 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.

Illinois· 30th of 51

$14.45

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.