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Detailed Lipoprotein Fraction Measurement

North Carolina rates for HCPCS 0052U

Measures the cholesterol-carrying particles in blood in more detail than a standard cholesterol panel. Spinning the sample at high speed separates every major lipoprotein fraction — including HDL, LDL and VLDL — along with their subfractions, and each is measured and reported.

Rates data updated July 2026.

How much does Detailed Lipoprotein Fraction Measurement cost?

$26.92

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $26.92 for this service. The price depends on where it is billed: about $26.92 from a physician practice, and about $40.74 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$26.92$22.39 to $45.71
FacilityA hospital or hospital-owned outpatient department$40.74$26.92 to $102

How much rates vary

Facilitymedian $41 · 10th to 90th $27 to $112Professionalmedian $27 · 10th to 90th $17 to $100
$20$50$100facility $41professional $27

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
$26.92
Median
$56.23
Typical High
$112.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$26.92
Typical High
$32.36
BCBS
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$102.33
Typical High
$104.71
BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$40.74
Typical High
$100.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$89.13
Typical High
$154.88
Medcost
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$32.36
Typical High
$48.98
Medcost
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$21.88
United
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$39.81
Typical High
$41.69
United
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$20.42
Typical High
$35.48
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$251.19

Where North Carolina sits

The same service costs 3.4 times more in Alaska than in Nebraska. 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.

North Carolina· 41st of 51

$26.92

AK $75.86NE $22.39

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.