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Specialized Metabolic Blood Test

New Jersey 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?

$16.22

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $16.22 for this service. The price depends on where it is billed: about $11.48 from a physician practice, and about $37.15 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 7 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$8.71 to $12.88
FacilityA hospital or hospital-owned outpatient department$37.15$20.89 to $69.18

How much rates vary

Facilitymedian $37 · 10th to 90th $14 to $129Professionalmedian $11 · 10th to 90th $8 to $30
$10$100$1K$10Kfacility $37professional $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
$17.78
Median
$38.02
Typical High
$104.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$11.48
Typical High
$30.90
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$9.12
Typical High
$9.12
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$31.62
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$10.47
Typical High
$30.20
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$7.24
Typical High
$12.30
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$12.02
Typical High
$12.88
United
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$14.45
Typical High
$30.20
United
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$8.71
Typical High
$15.49

Where New Jersey 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 Jersey· 23rd of 51

$16.22

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.