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Sickle Cell Adhesion Test, VCAM-1

North Carolina rates for HCPCS 0121U

Measures how strongly a person's blood cells stick to VCAM-1, a protein on the lining of blood vessels, using a whole blood sample. Sticking of this kind contributes to the blockages seen in sickle cell disease. A companion test measures adhesion to P-selectin instead.

Rates data updated July 2026.

How much does Sickle Cell Adhesion Test, VCAM-1 cost?

$407

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $407 for this service. The price depends on where it is billed: about $363 from a physician practice, and about $676 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$363$257 to $457
FacilityA hospital or hospital-owned outpatient department$676$407 to $1,698

How much rates vary

Facilitymedian $676 · 10th to 90th $309 to $2,399Professionalmedian $363 · 10th to 90th $257 to $813
$200$500$1K$2Kfacility $676professional $363

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
$891.25
Median
$1,621.81
Typical High
$1,698.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$1,698.24
BCBS
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,122.02
Typical High
$1,621.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$457.09
Typical High
$457.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$1,122.02
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$616.60
Typical High
$776.25
Medcost
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$407.38
Typical High
$537.03
Medcost
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$512.86
Typical High
$616.60
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$257.04
Typical High
$512.86
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,398.83

Where North Carolina sits

The same service costs 3.0 times more in South Dakota than in Connecticut. 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

$407

SD $977CT $331

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.