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Phosphatidylglycerol, Fetal Lung Maturity

North Carolina rates for HCPCS 84081

A test on amniotic fluid for phosphatidylglycerol, a fatty substance that appears once an unborn baby's lungs are producing enough of the coating that keeps air sacs open. Its presence is a reassuring sign that the lungs are ready for breathing after birth.

Rates data updated July 2026.

How much does Phosphatidylglycerol, Fetal Lung Maturity cost?

$13.18

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $13.18 for this service. The price depends on where it is billed: about $13.18 from a physician practice, and about $17.78 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$13.18$13.18 to $14.79
FacilityA hospital or hospital-owned outpatient department$17.78$14.13 to $38.90

How much rates vary

Facilitymedian $18 · 10th to 90th $13 to $55Professionalmedian $13 · 10th to 90th $11 to $22
$10$20$50$100facility $18professional $13

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
$13.18
Median
$15.85
Typical High
$52.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$21.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$70.79
Typical High
$70.79
BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$10.72
Typical High
$14.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$32.36
Typical High
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$11.48
Typical High
$25.12
Medcost
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$30.90
Typical High
$81.28
Medcost
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$17.78
Typical High
$32.36
Medcost
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$36.31
Typical High
$39.81
United
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$21.88
Typical High
$28.84
United
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$11.48
Typical High
$22.91
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$100.00

Where North Carolina sits

The same service costs 2.6 times more in South Dakota 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

$13.18

SD $31.62MD $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.