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Chemistry Test For A Specific Substance

Georgia rates for HCPCS 84285

A laboratory chemistry test that measures how much of one particular substance is present in a sample sent to the lab. It is ordered when the amount of that substance is expected to answer a specific question about a person's health, and the result is read together with the rest of the picture.

Rates data updated July 2026.

How much does Chemistry Test For A Specific Substance cost?

$23.44

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $23.44 for this service. The price depends on where it is billed: about $19.95 from a physician practice, and about $33.11 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$19.95$16.60 to $26.30
FacilityA hospital or hospital-owned outpatient department$33.11$24.55 to $42.66

How much rates vary

Facilitymedian $33 · 10th to 90th $20 to $58Professionalmedian $20 · 10th to 90th $12 to $49
$5.0$10.0$20.0$50.0$100.0facility $33professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$38.90
Typical High
$66.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$21.38
Typical High
$54.95
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$32.36
Typical High
$42.66
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$18.62
Typical High
$48.98
CareSource
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$16.98
Typical High
$16.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$50.12
Typical High
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$16.60
Typical High
$50.12
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$35.48
Typical High
$87.10
United
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$22.91
Typical High
$28.84
United
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$15.14
Typical High
$33.11

Where Georgia sits

The same service costs 2.5 times more in South Dakota than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Georgia $23.44 · 34th of 51
SD $47.86MD $19.05

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.