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Specialized Metabolic Blood Test

Indiana 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?

$12.88

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $12.88 for this service. The price depends on where it is billed: about $11.75 from a physician practice, and about $14.45 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$11.75$7.76 to $11.75
FacilityA hospital or hospital-owned outpatient department$14.45$14.45 to $28.84

How much rates vary

Facilitymedian $14 · 10th to 90th $14 to $162Professionalmedian $12 · 10th to 90th $5 to $13
$10$20$50$100facility $14professional $12

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
$14.13
Median
$19.95
Typical High
$165.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$11.75
Typical High
$12.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$43.65
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$6.31
Typical High
$12.30
CareSource
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$18.20
Typical High
$18.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$14.45
Typical High
$27.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$12.88
Typical High
$28.18
United
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$14.45
Typical High
$16.60
United
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$8.32
Typical High
$15.85

Where Indiana 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.

Indiana· 37th of 51

$12.88

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.