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Specialized Metabolic Blood Test

Washington 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?

$17.38

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $17.38 for this service. The price depends on where it is billed: about $13.49 from a physician practice, and about $23.44 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$13.49$12.88 to $17.38
FacilityA hospital or hospital-owned outpatient department$23.44$17.38 to $38.02

How much rates vary

Facilitymedian $23 · 10th to 90th $14 to $60Professionalmedian $13 · 10th to 90th $7 to $26
$10$20$50$100facility $23professional $13

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
$14.45
Median
$26.92
Typical High
$77.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$95.50
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$18.20
Typical High
$39.81
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$12.88
Typical High
$14.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$29.51
Typical High
$38.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$15.14
Typical High
$21.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$12.59
Typical High
$64.57
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$28.84
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$14.45
Typical High
$15.85
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$22.91
Typical High
$39.81
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$17.38
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$21.88
Typical High
$38.90
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$12.88
Typical High
$14.45
United
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$17.38
Typical High
$17.38
United
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.31
Typical High
$16.22
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$7.59
Typical High
$26.30

Where Washington 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.

Washington· 12th of 51

$17.38

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.