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Chemistry Test For A Specific Substance

North Carolina rates for HCPCS 84285

A laboratory chemistry test that measures how much of one particular substance is present in a sample sent to the lab. It is ordered when the amount of that substance is expected to answer a specific question about a person's health, and the result is read together with the rest of the picture.

Rates data updated July 2026.

How much does Chemistry Test For A Specific Substance cost?

$19.95

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $19.95 for this service. The price depends on where it is billed: about $19.95 from a physician practice, and about $25.12 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$19.95$19.95 to $21.88
FacilityA hospital or hospital-owned outpatient department$25.12$21.38 to $54.95

How much rates vary

Facilitymedian $25 · 10th to 90th $18 to $83Professionalmedian $20 · 10th to 90th $17 to $33
$10$20$50$100facility $25professional $20

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
$19.95
Median
$23.99
Typical High
$79.43
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$33.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$57.54
Typical High
$104.71
BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$16.22
Typical High
$30.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$48.98
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$16.98
Typical High
$38.02
Medcost
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$44.67
Medcost
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$21.38
Typical High
$45.71
Medcost
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$30.20
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$30.20
Typical High
$40.74
United
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$16.60
Typical High
$33.11
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23

Where North Carolina sits

The same service costs 2.5 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· 49th of 51

$19.95

SD $47.86MD $19.05

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.