Decision Support Tools

Doctor's office visits and services

Going to the doctor's office? In this section, you can research the relative cost differences between various types of office visits, as well as routine services, such as X-rays and lab tests. Being aware of the different types of services you could receive and the costs associated with them will empower you to make informed decisions about your health care options.

The costs reported represent the billed charge or retail price for services and do not reflect member benefits or negotiated provider discounts through your health insurance policy.

Average Cost by Service
Services	Average Cost per Procedure	Total Cost Ranges
		Low	High
Doctor's Office Visits
Established patient - problem focused	$53	$46	$58
Established patient - expanded, low complexity	$70	$64	$76
Established patient - detailed, moderate complexity	$109	$95	$120
New patient - expanded	$85	$75	$94
New patient - detailed, low complexity	$120	$100	$137
New patient - comprehensive, moderate complexity	$174	$150	$201
Office consultation - expanded	$140	$125	$154
Office consultation - detailed, low complexity	$186	$165	$208
Office consultation - comprehensive, moderate complexity	$248	$222	$275
Other Office Services
Blood count	$30	$26	$34
Chest x-ray	$86	$74	$101
Comprehensive metabolic panel	$46	$35	$53
EKG	$64	$55	$75
Glycosylated hemoglobin	$43	$34	$50
Lipid panel	$56	$40	$70
Liver function panel	$44	$32	$55
Pap smear	$55	$50	$63
Prothrombin (clotting) time	$22	$17	$27
PSA (prostate specific antigen) test	$70	$54	$85
Rapid strep throat test	$32	$26	$35
Screening mammogram	$102	$80	$120
Thyroid stimulating hormone test	$61	$49	$70
Urinalysis	$14	$11	$16
Urine pregnancy test	$22	$19	$26

Find a doctor

Finding an in-network provider is easy with our online provider directory. Select your health plan and search by speciality to find a doctor that suits your needs.

Please note the following for all data contained within these reports:

1. This information should not replace the advice and/or direction of a health care provider. You should work with your doctor/health care provider to explore all of your treatment options and make an informed decision about your health care.
2. Data reported is based on average hospital and professional billed charges from BCBSNC claims experience.
3. Excludes outliers (unusually high or low cases).
4. Each hospital or professional provider determines billed charges for services.
5. BCBSNC negotiates discounted rates with providers that are not reflected in this data.
6. Member liability (out of pocket costs) is dependent on services received, benefits, negotiated rates for a hospital or professional provider and the billed charges for a hospital or professional provider.
7. Ranges displayed are between the 25th (Low) and 75th (High) percentiles.
8. The length of stay (hospital days) reported is an average. A patient's actual length of stay can vary based on the complexity of the case, as can the length of stay that will be covered by insurance. The information reported does not represent the length of stay that may be recommended by your physician or authorized by BCBSNC.
9. This information is not intended to suggest any health care service or treatment approach is necessary/unnecessary or better/worse than any other service or treatment approach.
10. Is not intended to report the member, provider or payer actual cost for any specific service or episode of care. The costs reported represent the billed charge, or retail price, for services, and do not reflect member benefits or negotiated provider discounts through your health insurance policy. Facility and professional billed charges vary from provider to provider.