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Kidney Stone Risk Chemical Test

North Carolina rates for HCPCS 83945

This test measures the level of a chemical compound associated with kidney stone formation, usually in a urine sample. It is used as part of evaluating a person's risk for developing kidney stones.

Rates data updated July 2026.

How much does Kidney Stone Risk Chemical Test cost?

$11.48

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $11.48 for this service. The price depends on where it is billed: about $11.48 from a physician practice, and about $18.20 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 7 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$11.48$11.48 to $12.59
FacilityA hospital or hospital-owned outpatient department$18.20$12.30 to $47.86

How much rates vary

Facilitymedian $18 · 10th to 90th $11 to $74Professionalmedian $11 · 10th to 90th $10 to $19
$10.0$20.0$50.0$100.0facility $18professional $11

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
$11.48
Median
$19.05
Typical High
$79.43
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.48
Typical High
$19.05
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$8.71
BCBS
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$54.95
Typical High
$54.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$11.75
Typical High
$13.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$28.18
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$9.33
Typical High
$21.88
Medcost
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$23.99
Typical High
$38.02
Medcost
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$11.75
Typical High
$25.12
Medcost
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$12.88
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$16.98
Typical High
$22.39
United
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$8.91
Typical High
$17.78
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$100.00

Where North Carolina sits

The same service costs 3.3 times more in West Virginia than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Carolina $11.48 · 45th of 51
WV $36.31DC $10.96

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.