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Chemistry Test For A Specific Substance

Maine 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?

$25.70

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $25.70 for this service. The price depends on where it is billed: about $25.12 from a physician practice, and about $63.10 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$25.12$19.05 to $25.70
FacilityA hospital or hospital-owned outpatient department$63.10$25.12 to $87.10

How much rates vary

Facilitymedian $63 · 10th to 90th $25 to $219Professionalmedian $25 · 10th to 90th $14 to $30
$10.0$20.0$50.0$100.0$200.0facility $63professional $25

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
$25.12
Median
$60.26
Typical High
$112.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$20.42
Typical High
$25.12
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$218.78
Typical High
$239.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$14.45
Typical High
$30.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$33.11
Typical High
$57.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$25.70
Typical High
$33.88
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$25.12
Typical High
$30.20
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$60.26
Typical High
$162.18
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$25.12
Typical High
$27.54
United
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$25.12
Typical High
$47.86

Where Maine 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.

Maine $25.70 · 25th 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.