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Specialized Metabolic Blood Test

Ohio 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?

$15.14

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $15.14 for this service. The price depends on where it is billed: about $10.96 from a physician practice, and about $28.84 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 8 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$10.96$6.92 to $14.13
FacilityA hospital or hospital-owned outpatient department$28.84$16.22 to $33.11

How much rates vary

Facilitymedian $29 · 10th to 90th $14 to $52Professionalmedian $11 · 10th to 90th $6 to $27
$10$20$50$100facility $29professional $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
$14.45
Median
$28.84
Typical High
$61.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$12.30
Typical High
$33.11
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$15.14
Typical High
$26.92
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$7.41
Typical High
$16.60
CareSource
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$16.60
CareSource
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$18.20
Typical High
$58.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$7.94
Typical High
$21.88
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$19.05
Typical High
$69.18
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$7.41
Typical High
$20.42
Molina
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$12.02
Typical High
$17.38
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$15.14
Typical High
$28.84
United
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$14.45
Typical High
$21.88
United
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$8.71
Typical High
$15.85

Where Ohio 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.

Ohio· 27th of 51

$15.14

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.