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Chemistry Test For A Specific Substance

Missouri 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?

$27.54

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $27.54 for this service. The price depends on where it is billed: about $24.55 from a physician practice, and about $34.67 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$24.55$15.49 to $42.66
FacilityA hospital or hospital-owned outpatient department$34.67$25.12 to $44.67

How much rates vary

Facilitymedian $35 · 10th to 90th $25 to $59Professionalmedian $25 · 10th to 90th $12 to $56
$10.0$20.0$50.0$100.0$200.0facility $35professional $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
$24.55
Median
$42.66
Typical High
$56.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$24.55
Typical High
$56.23
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$89.13
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$20.42
Typical High
$63.10
BCBS
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$45.71
Typical High
$53.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$48.98
Typical High
$131.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$23.99
Typical High
$61.66
Medica
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$43.65
Typical High
$120.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$15.14
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$25.12
Typical High
$30.20
United
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$17.38
Typical High
$33.11

Where Missouri 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.

Missouri $27.54 · 22nd 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.