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Specialized Metabolic Blood Test

Virginia 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?

$12.30

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $12.30 for this service. The price depends on where it is billed: about $10.96 from a physician practice, and about $17.78 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$9.77 to $12.30
FacilityA hospital or hospital-owned outpatient department$17.78$14.45 to $32.36

How much rates vary

Facilitymedian $18 · 10th to 90th $12 to $65Professionalmedian $11 · 10th to 90th $6 to $28
$10$100$1K$10Kfacility $18professional $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
$12.30
Median
$28.84
Typical High
$64.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$11.22
Typical High
$27.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$57.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$9.77
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$51.29
Typical High
$69.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$28.18
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$8.91
Typical High
$19.05
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$17.38
Typical High
$21.38
Medcost
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$18.20
Typical High
$21.38
Medcost
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$10.47
Typical High
$12.30
Medcost
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$9.33
Typical High
$30.20
Sentara
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$19.05
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$19.05
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$14.45
Typical High
$18.62
United
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$7.24
Typical High
$11.48

Where Virginia 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.

Virginia· 41st of 51

$12.30

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.