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Specialized Metabolic Blood Test

Oregon 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?

$15.85

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $15.85 for this service. The price depends on where it is billed: about $14.79 from a physician practice, and about $15.85 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$14.79$14.13 to $20.89
FacilityA hospital or hospital-owned outpatient department$15.85$14.45 to $28.84

How much rates vary

Facilitymedian $16 · 10th to 90th $14 to $55Professionalmedian $15 · 10th to 90th $12 to $27
$10$20$50$100facility $16professional $15

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
$18.62
Median
$40.74
Typical High
$64.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$14.13
Typical High
$95.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$38.02
Typical High
$41.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$16.22
Typical High
$25.70
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$32.36
Typical High
$37.15
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$16.60
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$16.60
Typical High
$23.99
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$28.84
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$14.45
Typical High
$17.38
Providence
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$19.95
Typical High
$42.66
Providence
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$16.22
Typical High
$79.43
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$42.66
Typical High
$56.23
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$13.18
Typical High
$17.38
United
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$21.88
Typical High
$21.88
United
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.17
Typical High
$17.38

Where Oregon 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.

Oregon· 24th of 51

$15.85

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.