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Specialized Metabolic Blood Test

Rhode Island 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?

$12.88

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $12.88 for this service. The price depends on where it is billed: about $11.22 from a physician practice, and about $32.36 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 4 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$11.22$10.96 to $12.88
FacilityA hospital or hospital-owned outpatient department$32.36$17.38 to $69.18

How much rates vary

Facilitymedian $32 · 10th to 90th $15 to $71Professionalmedian $11 · 10th to 90th $8 to $21
$10$20$50facility $32professional $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
$43.65
Typical High
$83.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$11.22
Typical High
$12.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$16.60
Typical High
$21.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$10.96
Typical High
$16.22
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$25.70
Typical High
$45.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$12.02
Typical High
$21.38
United
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$21.38
United
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$10.47
Typical High
$21.38

Where Rhode Island 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.

Rhode Island· 38th of 51

$12.88

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.