go back

Specialized Metabolic Blood Test

Pennsylvania 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?

$20.42

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $20.42 for this service. The price depends on where it is billed: about $11.75 from a physician practice, and about $33.11 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 9 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$11.75$11.22 to $13.49
FacilityA hospital or hospital-owned outpatient department$33.11$21.38 to $63.10

How much rates vary

Facilitymedian $33 · 10th to 90th $12 to $98Professionalmedian $12 · 10th to 90th $9 to $25
$10$20$50$100$200facility $33professional $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
$12.30
Median
$33.11
Typical High
$85.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$11.75
Typical High
$33.88
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$77.62
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$11.22
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$20.89
Typical High
$48.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$15.85
Typical High
$26.30
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$8.51
Typical High
$20.89
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$14.45
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$14.13
Typical High
$25.12
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$91.20
Typical High
$354.81
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$36.31
Typical High
$218.78
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$11.75
Typical High
$42.66
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$56.23
Typical High
$100.00
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$14.45
Typical High
$15.49
United
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$14.45
Typical High
$17.38
United
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$9.33
Typical High
$21.88

Where Pennsylvania 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.

Pennsylvania· 6th of 51

$20.42

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.