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Specialized Metabolic Blood Test

Nebraska 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?

$23.44

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $23.44 for this service. The price depends on where it is billed: about $9.55 from a physician practice, and about $44.67 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$9.55$9.55 to $35.48
FacilityA hospital or hospital-owned outpatient department$44.67$31.62 to $89.13

How much rates vary

Facilitymedian $45 · 10th to 90th $10 to $132Professionalmedian $10 · 10th to 90th $9 to $95
$10$20$50$100facility $45professional $10

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
$34.67
Median
$44.67
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$9.55
Typical High
$95.50
BCBS
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$58.88
Typical High
$114.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$22.39
Typical High
$23.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$28.18
Typical High
$35.48
Medica
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$21.38
Typical High
$100.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$8.71
Typical High
$15.85
Midlands
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$29.51
Midlands
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$13.18
United
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$12.88
Typical High
$14.45
United
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.71
Typical High
$28.84

Where Nebraska 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.

Nebraska· 3rd of 51

$23.44

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.