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Breath Sample Collection for Ulcer Bacteria

North Carolina rates for HCPCS 78267

Covers collecting the breath samples for a test that looks for the stomach bacterium linked to ulcers. The person swallows a labeled substance, then breathes into a collection container after a set wait. Measuring what is in the sample is billed separately.

Rates data updated July 2026.

How much does Breath Sample Collection for Ulcer Bacteria cost?

$13.18

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $13.18 for this service. The price depends on where it is billed: about $12.59 from a physician practice, and about $21.88 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 8 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$12.59$9.33 to $18.62
FacilityA hospital or hospital-owned outpatient department$21.88$14.79 to $33.88

How much rates vary

Facilitymedian $22 · 10th to 90th $11 to $38Professionalmedian $13 · 10th to 90th $8 to $29
$10$20$50$100facility $22professional $13

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
$14.79
Median
$21.88
Typical High
$38.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$10.23
Typical High
$20.89
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$5.50
Typical High
$5.50
BCBS
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$33.88
Typical High
$33.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$19.05
Typical High
$31.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$54.95
Typical High
$77.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$12.59
Typical High
$53.70
Medcost
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$17.38
Medcost
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$13.49
Typical High
$25.70
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
United
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$10.96
Typical High
$16.60
United
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$5.62
Typical High
$11.48
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97

Where North Carolina sits

The same service costs 3.9 times more in Nebraska than in West Virginia. 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· 21st of 51

$13.18

NE $32.36WV $8.32

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.