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Chemistry Test For A Specific Substance

South Carolina 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?

$20.42

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $20.42 for this service. The price depends on where it is billed: about $19.50 from a physician practice, and about $64.57 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$19.50$19.50 to $21.88
FacilityA hospital or hospital-owned outpatient department$64.57$35.48 to $107

How much rates vary

Facilitymedian $65 · 10th to 90th $19 to $145Professionalmedian $19 · 10th to 90th $19 to $31
$5.0$10.0$20.0$50.0$100.0$200.0facility $65professional $19

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
$19.50
Median
$61.66
Typical High
$120.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$21.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$104.71
Typical High
$165.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$33.11
Typical High
$54.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$83.18
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$15.49
Typical High
$30.20
Medcost
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$26.92
Typical High
$70.79
United
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$25.12
Typical High
$30.20
United
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$15.85
Typical High
$33.11

Where South Carolina 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.

South Carolina $20.42 · 45th 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.