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Specialized Metabolic Blood Test

South Carolina 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?

$12.59

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $12.59 for this service. The price depends on where it is billed: about $11.22 from a physician practice, and about $45.71 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 5 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$11.22 to $12.59
FacilityA hospital or hospital-owned outpatient department$45.71$20.42 to $83.18

How much rates vary

Facilitymedian $46 · 10th to 90th $11 to $93Professionalmedian $11 · 10th to 90th $10 to $16
$10$20$50$100$200facility $46professional $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
$11.22
Median
$46.77
Typical High
$275.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$12.59
BCBS
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$46.77
Typical High
$91.20
BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$16.60
Typical High
$22.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$66.07
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$7.08
Typical High
$17.78
Medcost
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$13.49
Typical High
$32.36
United
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$14.45
Typical High
$17.38
United
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$8.71
Typical High
$17.38

Where South Carolina 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.

South Carolina· 40th of 51

$12.59

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.