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Specialized Metabolic Blood Test

New Hampshire 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?

$21.88

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $21.88 for this service. The price depends on where it is billed: about $12.30 from a physician practice, and about $39.81 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 5 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$12.30$9.33 to $26.92
FacilityA hospital or hospital-owned outpatient department$39.81$27.54 to $57.54

How much rates vary

Facilitymedian $40 · 10th to 90th $20 to $83Professionalmedian $12 · 10th to 90th $9 to $49
$10$20$50$100facility $40professional $12

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
$20.42
Median
$36.31
Typical High
$102.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$12.30
Typical High
$48.98
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$28.18
Typical High
$81.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$9.33
Typical High
$27.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$54.95
Typical High
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$15.14
Typical High
$41.69
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$25.12
Typical High
$48.98
United
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$13.49
United
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$9.12
Typical High
$32.36

Where New Hampshire 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.

New Hampshire· 5th of 51

$21.88

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.