go back

Specialized Metabolic Blood Test

Massachusetts 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?

$15.14

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $15.14 for this service. The price depends on where it is billed: about $14.45 from a physician practice, and about $28.84 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 9 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$11.48 to $20.42
FacilityA hospital or hospital-owned outpatient department$28.84$19.95 to $41.69

How much rates vary

Facilitymedian $29 · 10th to 90th $11 to $62Professionalmedian $14 · 10th to 90th $10 to $36
$10$50$200$1Kfacility $29professional $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
$14.45
Median
$30.90
Typical High
$81.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$11.22
Typical High
$48.98
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$16.60
Typical High
$100.00
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$14.45
Typical High
$35.48
BCBS
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$28.84
Typical High
$45.71
BCBS
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$13.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$18.62
Typical High
$30.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$16.98
Typical High
$38.02
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$56.23
Typical High
$7,079.46
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$24.55
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$33.88
Health New England
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$89.13
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$16.60
Typical High
$100.00
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$14.45
Typical High
$35.48
United
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$14.45
Typical High
$17.78
United
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$12.88
Typical High
$33.11

Where Massachusetts 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.

Massachusetts· 28th of 51

$15.14

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.