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Specialized Metabolic Blood Test

West 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?

$11.75

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $11.75 for this service. The price depends on where it is billed: about $11.48 from a physician practice, and about $19.05 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$11.48$10.96 to $11.75
FacilityA hospital or hospital-owned outpatient department$19.05$13.18 to $21.88

How much rates vary

Facilitymedian $19 · 10th to 90th $12 to $36Professionalmedian $11 · 10th to 90th $7 to $12
$10$20$50facility $19professional $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
$11.75
Median
$19.05
Typical High
$21.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$11.48
Typical High
$12.30
CareSource
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
CareSource
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$17.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$21.38
Typical High
$43.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$21.38
Typical High
$72.44
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$16.98
United
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$16.60
United
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$6.61
Typical High
$15.14

Where West 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.

West Virginia· 44th of 51

$11.75

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.