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Measurement Of A Chemical In Blood

Maine rates for HCPCS 84228

A laboratory measurement of the level of one specific chemical substance in a blood sample. The number is compared with the expected range to help decide whether treatment or further testing is needed.

Rates data updated July 2026.

How much does Measurement Of A Chemical In Blood cost?

$11.75

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $11.75 for this service. The price depends on where it is billed: about $11.75 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 6 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$11.75$8.91 to $11.75
FacilityA hospital or hospital-owned outpatient department$19.05$11.75 to $52.48

How much rates vary

Facilitymedian $19 · 10th to 90th $12 to $110Professionalmedian $12 · 10th to 90th $6 to $15
$5.0$10.0$20.0$50.0$100.0facility $19professional $12

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
$11.75
Typical High
$52.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$9.33
Typical High
$11.75
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$109.65
Typical High
$117.49
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$6.61
Typical High
$15.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$16.60
Typical High
$26.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$11.75
Typical High
$16.60
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$11.75
Typical High
$14.13
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$52.48
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$11.75
Typical High
$28.84
United
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$11.75
Typical High
$23.99

Where Maine sits

The same service costs 2.4 times more in Hawaii than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Maine $11.75 · 23rd of 51
HI $20.89MD $8.71

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.