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Unlisted Multi-Marker Lab Test With Scoring Formula

North Carolina rates for HCPCS 81599

A laboratory test that measures several substances in a blood or tissue sample and then combines the individual results through a mathematical formula to produce a single score or index. It is used when the particular combination of measurements and formula has no standard named test of its own. What is measured, and what the score means, depends on the specific test the laboratory performs.

Rates data updated July 2026.

How much does Unlisted Multi-Marker Lab Test With Scoring Formula cost?

$661

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $661 for this service. The price depends on where it is billed: about $347 from a physician practice, and about $661 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 5 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$347$234 to $501
FacilityA hospital or hospital-owned outpatient department$661$603 to $708

How much rates vary

Facilitymedian $661 · 10th to 90th $501 to $708Professionalmedian $347 · 10th to 90th $8 to $3,981
$10$50$200$1Kfacility $661professional $347

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$707.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$8.13
Typical High
$8.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$549.54
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$275.42
Typical High
$346.74
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Medcost
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$537.03
Typical High
$537.03
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30

Where North Carolina sits

The same service costs 18620.9 times more in Montana than in Illinois. 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· 9th of 50

$661

MT $64,565IL $3.47

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.