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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 July 2026.

How much does Dibucaine Number Test cost?

$9.77

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $9.77 for this service. The price depends on where it is billed: about $9.77 from a physician practice, and about $13.18 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$9.77$9.77 to $10.96
FacilityA hospital or hospital-owned outpatient department$13.18$10.47 to $28.84

How much rates vary

Facilitymedian $13 · 10th to 90th $10 to $41Professionalmedian $10 · 10th to 90th $8 to $16
$10$20$50$100facility $13professional $10

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
$9.77
Median
$11.75
Typical High
$38.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$16.22
BCBS
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$52.48
Typical High
$52.48
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$6.76
Typical High
$7.94
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$23.99
Typical High
$56.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$8.51
Typical High
$18.62
Medcost
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$22.91
Typical High
$47.86
Medcost
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$11.22
Typical High
$23.99
Medcost
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$23.99
Typical High
$26.30
United
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$16.22
Typical High
$21.38
United
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$8.51
Typical High
$16.98
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$100.00

Where North Carolina sits

The same service costs 2.5 times more in Hawaii 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· 48th of 51

$9.77

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.