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Specialized Metabolic Blood Test

Kentucky 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?

$11.48

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $11.48 for this service. The price depends on where it is billed: about $11.48 from a physician practice, and about $18.62 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$11.48$7.41 to $13.18
FacilityA hospital or hospital-owned outpatient department$18.62$11.75 to $27.54

How much rates vary

Facilitymedian $19 · 10th to 90th $12 to $35Professionalmedian $11 · 10th to 90th $7 to $20
$10$20$50$100$200facility $19professional $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
$11.75
Median
$18.62
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.75
Typical High
$48.98
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$14.45
Typical High
$15.14
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$7.41
Typical High
$15.14
CareSource
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$17.38
Typical High
$20.42
CareSource
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$18.20
Typical High
$28.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$21.38
Typical High
$30.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$72.44
Typical High
$72.44
United
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$14.45
Typical High
$14.45
United
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$9.12
Typical High
$15.14

Where Kentucky 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.

Kentucky· 45th of 51

$11.48

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.