go back

Chemistry Test For A Specific Substance

Ohio 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 Ohio, 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 $35.48 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 8 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$13.80 to $24.55
FacilityA hospital or hospital-owned outpatient department$35.48$25.12 to $54.95

How much rates vary

Facilitymedian $35 · 10th to 90th $20 to $60Professionalmedian $20 · 10th to 90th $12 to $55
$2.0$5.0$10.0$20.0$50.0$100.0facility $35professional $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
$20.42
Median
$45.71
Typical High
$60.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$21.38
Typical High
$57.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$26.30
Typical High
$46.77
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$15.14
Typical High
$32.36
CareSource
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$16.98
Typical High
$28.84
CareSource
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$33.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$32.36
Typical High
$102.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$15.49
Typical High
$45.71
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$33.11
Typical High
$102.33
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$15.14
Typical High
$43.65
Molina
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$20.89
Typical High
$30.90
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$26.30
Typical High
$50.12
United
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$25.12
Typical High
$38.02
United
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$15.14
Typical High
$33.11

Where Ohio 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.

Ohio $23.44 · 35th 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.