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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 July 2026.

How much does Chemistry Test For A Specific Substance cost?

$28.18

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $28.18 for this service. The price depends on where it is billed: about $20.89 from a physician practice, and about $54.95 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$20.89$18.20 to $28.18
FacilityA hospital or hospital-owned outpatient department$54.95$38.02 to $145

How much rates vary

Facilitymedian $55 · 10th to 90th $25 to $324Professionalmedian $21 · 10th to 90th $17 to $68
$10.0$100.0$1.0K$10.0Kfacility $55professional $21

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
$32.36
Median
$53.70
Typical High
$181.97
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$21.38
Typical High
$67.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$54.95
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$22.91
Typical High
$66.07
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$12.59
Typical High
$26.30
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$22.39
Typical High
$26.30
United
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$25.12
Typical High
$51.29
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$15.14
Typical High
$33.88

Where New Jersey 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.

New Jersey $28.18 · 20th 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.