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Chemistry Test For A Specific Substance

New Jersey 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 October 2026.

How much does Chemistry Test For A Specific Substance cost?

$18.20

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $18.20 for this service. The price depends on where it is billed: about $17.78 from a physician practice, and about $54.95 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$17.78$16.98 to $19.95
FacilityA hospital or hospital-owned outpatient department$54.95$28.84 to $87.10

How much rates vary

Facilitymedian $55 · 10th to 90th $18 to $126Professionalmedian $18 · 10th to 90th $13 to $27
$10$20$50$100$200facility $55professional $18

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$18.20
Median
$20.89
Typical High
$45.71
Aetna
Setting
Professional
Modifier
None
Typical Low
$18.20
Median
$18.20
Typical High
$27.54
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$9.12
Median
$9.12
Typical High
$13.80
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$3.63
Median
$3.63
Typical High
$5.50
Cigna
Setting
Facility
Modifier
None
Typical Low
$24.55
Median
$54.95
Typical High
$123.03
Cigna
Setting
Professional
Modifier
None
Typical Low
$13.80
Median
$23.44
Typical High
$47.86
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$12.59
Typical High
$26.30
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$23.44
Median
$25.12
Typical High
$199.53
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$17.78
Median
$17.78
Typical High
$17.78
United
Setting
Facility
Modifier
None
Typical Low
$22.91
Median
$22.91
Typical High
$83.18
United
Setting
Professional
Modifier
None
Typical Low
$10.47
Median
$15.14
Typical High
$20.42

Where New Jersey sits

The same service costs 3.5 times more in Kansas than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New Jersey· 49th of 51

$18.20

KS $57.54AL $16.22

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.