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Dibucaine Number Test

North Carolina 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 October 2026.

How much does Dibucaine Number Test cost?

$9.77

Typical negotiated rate. In North Carolina, October 2026.

Insurers have agreed to pay about $9.77 for this service. The price depends on where it is billed: about $9.12 from a physician practice, and about $15.85 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$9.12$7.76 to $11.48
FacilityA hospital or hospital-owned outpatient department$15.85$9.77 to $27.54

How much rates vary

Facilitymedian $16 · 10th to 90th $10 to $56Professionalmedian $9 · 10th to 90th $6 to $17
$5$10$20$50facility $16professional $9

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$9.77
Median
$9.77
Typical High
$31.62
Aetna
Setting
Professional
Modifier
None
Typical Low
$9.77
Median
$9.77
Typical High
$12.30
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$4.90
Median
$4.90
Typical High
$5.25
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$1.95
Median
$1.95
Typical High
$2.14
BCBS North Carolina
Setting
Facility
Modifier
None
Typical Low
$25.70
Median
$27.54
Typical High
$53.70
BCBS North Carolina
Setting
Professional
Modifier
None
Typical Low
$5.50
Median
$6.76
Typical High
$7.94
Cigna
Setting
Facility
Modifier
None
Typical Low
$8.71
Median
$26.92
Typical High
$56.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$6.31
Median
$8.32
Typical High
$18.62
Medcost
Setting
Professional
Modifier
None
Typical Low
$10.23
Median
$22.91
Typical High
$47.86
Medcost
Setting
Facility
Modifier
None
Typical Low
$9.55
Median
$9.77
Typical High
$25.70
Medcost
Setting
Professional
Modifier
None
Typical Low
$9.77
Median
$17.38
Typical High
$23.99
United
Setting
Professional
Modifier
None
Typical Low
$5.13
Median
$8.51
Typical High
$16.60

Where North Carolina sits

The same service costs 3.2 times more in Kansas than in Maryland. 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· 47th of 51

$9.77

KS $28.84MD $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.