go back

Ceramide Blood Test For Heart Risk

North Carolina rates for HCPCS 0119U

Estimates a person's risk of a heart attack or other cardiac event by measuring ceramides, a family of fats, in blood plasma. The levels are reported together with a cardiac risk score.

Rates data updated July 2026.

How much does Ceramide Blood Test For Heart Risk cost?

$67.61

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $67.61 for this service. The price depends on where it is billed: about $67.61 from a physician practice, and about $97.72 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$67.61$50.12 to $67.61
FacilityA hospital or hospital-owned outpatient department$97.72$67.61 to $263

How much rates vary

Facilitymedian $98 · 10th to 90th $51 to $398Professionalmedian $68 · 10th to 90th $8 to $76
$10$20$50$100$200facility $98professional $68

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
$67.61
Median
$181.97
Typical High
$281.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$67.61
Typical High
$67.61
BCBS
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$141.25
Typical High
$269.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$75.86
Typical High
$75.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$181.97
Typical High
$380.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$102.33
Typical High
$128.82
Medcost
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$67.61
Typical High
$87.10
Medcost
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$63.10
United
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$83.18
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$41.69
Typical High
$83.18
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11

Where North Carolina sits

The same service costs 20.4 times more in South Dakota than in Arkansas. 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· 35th of 51

$67.61

SD $162AR $7.94

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.