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Felbamate Drug Level

North Carolina rates for HCPCS 80167

Measures how much felbamate, a medicine used to control difficult epilepsy, is present in a blood sample. The level is checked to confirm the dose is in a useful range, particularly when seizures continue or when other medicines that interact with it are started or stopped.

Rates data updated July 2026.

How much does Felbamate Drug Level cost?

$14.79

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $14.79 for this service. The price depends on where it is billed: about $14.79 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$14.79$13.49 to $14.79
FacilityA hospital or hospital-owned outpatient department$40.74$16.22 to $97.72

How much rates vary

Facilitymedian $41 · 10th to 90th $15 to $112Professionalmedian $15 · 10th to 90th $10 to $23
$10.0$20.0$50.0$100.0facility $41professional $15

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
$61.66
Typical High
$112.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$14.79
Typical High
$24.55
BCBS
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$41.69
Typical High
$42.66
BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$13.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$39.81
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$9.33
Typical High
$25.70
Medcost
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
Medcost
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$13.49
Typical High
$18.62
Medcost
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$14.13
United
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$18.62
Typical High
$22.39
United
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$9.33
Typical High
$18.62
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13

Where North Carolina sits

The same service costs 2.3 times more in North Dakota than in Connecticut. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Carolina $14.79 · 45th of 51
ND $28.18CT $12.30

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.