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Specialized Metabolic Blood Test

Vermont 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?

$19.05

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $19.05 for this service. The price depends on where it is billed: about $19.05 from a physician practice, and about $182 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$19.05$19.05 to $19.05
FacilityA hospital or hospital-owned outpatient department$182$23.99 to $200

How much rates vary

Facilitymedian $182 · 10th to 90th $14 to $229Professionalmedian $19 · 10th to 90th $9 to $19
$10$20$50$100$200facility $182professional $19

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$19.05
BCBS
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$190.55
Typical High
$208.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$14.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$229.09
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$16.98
Typical High
$18.62
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$14.45
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$8.91
United
Setting
Facility
Modifier
Global
Typical Low
$5.13
Median
$5.13
Typical High
$5.13
United
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$15.14
Typical High
$31.62

Where Vermont 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.

Vermont· 9th of 51

$19.05

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.