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Specialized Metabolic Blood Test

North Carolina 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 North Carolina, July 2026.

Insurers have agreed to pay about $12.88 for this service. The price depends on where it is billed: about $11.48 from a physician practice, and about $45.71 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$11.48$10.47 to $11.48
FacilityA hospital or hospital-owned outpatient department$45.71$13.80 to $117

How much rates vary

Facilitymedian $46 · 10th to 90th $11 to $174Professionalmedian $11 · 10th to 90th $8 to $19
$10$20$50$100facility $46professional $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
$11.48
Median
$47.86
Typical High
$173.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$11.48
Typical High
$19.05
BCBS
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$46.77
Typical High
$46.77
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$9.77
Typical High
$11.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$28.18
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$7.94
Typical High
$19.50
Medcost
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$19.95
Typical High
$53.70
Medcost
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$10.47
Typical High
$21.38
Medcost
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$10.00
United
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$15.14
Typical High
$19.05
United
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$7.76
Typical High
$15.14
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$100.00

Where North Carolina 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.

North Carolina· 39th 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.