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Alpha-1 Antitrypsin Gene Test

North Carolina rates for HCPCS 81332

This service is a genetic laboratory test that looks for common gene changes linked to alpha-1 antitrypsin deficiency, an inherited condition that can cause lung and liver disease. It is used to help confirm the diagnosis in people with unexplained liver disease, early emphysema, or a family history of the condition. The test is run on a blood sample.

Rates data updated July 2026.

How much does Alpha-1 Antitrypsin Gene Test cost?

$43.65

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $43.65 for this service. The price depends on where it is billed: about $38.90 from a physician practice, and about $138 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$38.90$34.67 to $58.88
FacilityA hospital or hospital-owned outpatient department$138$38.02 to $138

How much rates vary

Facilitymedian $138 · 10th to 90th $35 to $145Professionalmedian $39 · 10th to 90th $24 to $65
$20$50$100$200facility $138professional $39

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
$34.67
Median
$138.04
Typical High
$144.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$34.67
Typical High
$57.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$181.97
Typical High
$181.97
BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$58.88
Typical High
$72.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$95.50
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$27.54
Typical High
$60.26
Medcost
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$44.67
Typical High
$75.86
Medcost
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
United
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$57.54
Typical High
$72.44
United
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$29.51
Typical High
$64.57
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$331.13

Where North Carolina sits

The same service costs 3.2 times more in Nebraska than in Washington, DC. 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· 30th of 51

$43.65

NE $105DC $33.11

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.