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Specialized Metabolic Blood Test

Maine 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 Maine, July 2026.

Insurers have agreed to pay about $14.45 for this service. The price depends on where it is billed: about $14.45 from a physician practice, and about $21.38 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$14.45$10.96 to $14.45
FacilityA hospital or hospital-owned outpatient department$21.38$14.45 to $64.57

How much rates vary

Facilitymedian $21 · 10th to 90th $14 to $102Professionalmedian $14 · 10th to 90th $7 to $17
$10$20$50$100facility $21professional $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
$14.45
Typical High
$64.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$11.75
Typical High
$14.45
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$102.33
Typical High
$109.65
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$8.32
Typical High
$14.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$15.14
Typical High
$33.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$14.79
Typical High
$16.98
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$14.45
Typical High
$17.38
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$64.57
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$14.45
Typical High
$15.14
United
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$13.49
United
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$14.45
Typical High
$22.39

Where Maine 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.

Maine· 31st 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.