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Specialized Metabolic Blood Test

Montana 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?

$19.50

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $19.50 for this service. The price depends on where it is billed: about $18.20 from a physician practice, and about $19.50 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$18.20$16.60 to $28.18
FacilityA hospital or hospital-owned outpatient department$19.50$18.20 to $33.88

How much rates vary

Facilitymedian $19 · 10th to 90th $15 to $83Professionalmedian $18 · 10th to 90th $13 to $95
$10$100$1K$10K$100Kfacility $19professional $18

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
Professional
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$95.50
BCBS
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$81,283.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$24.55
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$16.98
Typical High
$21.38
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$19.05
Typical High
$43.65
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$19.05
Typical High
$43.65
Providence
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$28.18
Typical High
$83.18
Providence
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$20.89
United
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$14.45
United
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.17
Typical High
$15.14

Where Montana 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.

Montana· 8th of 51

$19.50

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.