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Laboratory Test For A Specific Substance

North Carolina rates for HCPCS 82654

A laboratory measurement of one particular substance in a sample taken from the body. A test like this is ordered when the amount of that specific substance is needed to help reach a diagnosis or to guide treatment.

Rates data updated July 2026.

How much does Laboratory Test For A Specific Substance cost?

$21.88

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $21.88 for this service. Most negotiated rates run $12.30 to $51.29.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $13 · 10th to 90th $10 to $100Professionalmedian $28 · 10th to 90th $11 to $48
$10$20$50$100facility $13professional $28

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
BCBS
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$48.98
Typical High
$51.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$27.54
Medcost
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$47.86
Medcost
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$12.30
Typical High
$28.84
Medcost
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$100.00

Where North Carolina sits

The same service costs 8.1 times more in Massachusetts than in Alaska. 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· 32nd of 50

$21.88

MA $100AK $12.30

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.