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Fingerstick Blood Panel For Medication Classes

North Carolina rates for HCPCS 0054U

Measures medications and drugs in a small blood sample to check what someone has been taking. At least 14 classes of drug are covered — the count is of drug classes, not of individual drugs, so each class may take in several substances — and each is measured by mass spectrometry. The sample is a fingerstick capillary collection rather than a full draw from a vein.

Rates data updated July 2026.

How much does Fingerstick Blood Panel For Medication Classes cost?

$120

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $120 for this service. The price depends on where it is billed: about $120 from a physician practice, and about $219 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$120$100 to $141
FacilityA hospital or hospital-owned outpatient department$219$135 to $468

How much rates vary

Facilitymedian $219 · 10th to 90th $120 to $501Professionalmedian $120 · 10th to 90th $89 to $240
$100$200$500$1Kfacility $219professional $120

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
$120.23
Median
$323.59
Typical High
$501.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$120.23
Typical High
$120.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$501.19
Typical High
$512.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$107.15
Typical High
$239.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$389.05
Typical High
$912.01
Medcost
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$151.36
Typical High
$234.42
Medcost
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$194.98
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$89.13
Typical High
$181.97
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,479.11

Where North Carolina sits

The same service costs 3.8 times more in South Dakota than in Georgia. 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· 46th of 51

$120

SD $380GA $100

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.