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Dibucaine Number Test

Missouri rates for HCPCS 82638

A laboratory test that checks how a particular blood enzyme behaves when a chemical is added to it, in order to identify people who carry an unusual form of that enzyme. Those with the unusual form break down certain muscle-relaxing anesthetic drugs very slowly and can stay paralyzed and need breathing support far longer than expected. It is used after such a reaction and to check relatives.

Rates data updated July 2026.

How much does Dibucaine Number Test cost?

$13.18

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $13.18 for this service. The price depends on where it is billed: about $11.75 from a physician practice, and about $16.98 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$11.75$7.41 to $20.42
FacilityA hospital or hospital-owned outpatient department$16.98$12.30 to $21.88

How much rates vary

Facilitymedian $17 · 10th to 90th $12 to $29Professionalmedian $12 · 10th to 90th $6 to $30
$5.0$10.0$20.0$50.0$100.0facility $17professional $12

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
$11.75
Median
$20.42
Typical High
$28.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$11.75
Typical High
$28.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$42.66
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$10.23
Typical High
$31.62
BCBS
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$23.99
Typical High
$27.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$23.44
Typical High
$69.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$11.48
Typical High
$32.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$21.38
Typical High
$100.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$7.41
Typical High
$14.79
United
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$12.30
Typical High
$16.22
United
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$9.12
Typical High
$16.60

Where Missouri sits

The same service costs 2.5 times more in Hawaii than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Missouri $13.18 · 26th of 51
HI $22.39MD $9.12

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.