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Measurement Of A Chemical In Blood

Vermont 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?

$20.42

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $20.42 for this service. The price depends on where it is billed: about $20.42 from a physician practice, and about $91.20 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$20.42$19.95 to $20.42
FacilityA hospital or hospital-owned outpatient department$91.20$11.75 to $200

How much rates vary

Facilitymedian $91 · 10th to 90th $4 to $204Professionalmedian $20 · 10th to 90th $10 to $20
$5.0$10.0$20.0$50.0$100.0$200.0facility $91professional $20

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
$20.42
Median
$20.42
Typical High
$20.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$16.60
Typical High
$19.95
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$11.75
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$9.33
United
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$4.07
Typical High
$4.07
United
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$14.45
Typical High
$31.62

Where Vermont 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.

Vermont $20.42 · 2nd 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.