Lyme disease test cost in North Carolina
In North Carolina, 37 hospitals publish a cash price for Lyme disease antibody test: from $10.00 to $193.10, with a median of $86.40. The lowest price is at Sentara Albemarle Regional Medical Center (Elizabeth City). The highest price is 19.3× the lowest.
Outpatient cash prices, one line per hospital — its lowest listed price for code 86618. Prices for both sides of the body and inpatient prices are not mixed in. Collected Sep 24, 2026.
Lowest$10.00Sentara Albemarle Regional Medical Center
Median$86.40half pay less
Highest$193.10in North Carolina
Lowest saves$76.40vs the median
Hospitals in North Carolina, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Sentara Albemarle Regional Medical Center lowest Elizabeth City · Elizabeth City, NC Chgl (Qu) 86618 Lyme Antibodies With Reflex, S/O | $10.00 | $20.00 | Apr 1, 2026 source file |
| ECU Health Medical Center Greenville · Greenville, NC 36942 Tick Borne Disease Ab Panel-Ref-Qu | $18.02 | $34.00 | Apr 1, 2026 source file |
| Pitt County Memorial Hospital Washington · Washington, NC 36942 Tick Borne Disease Ab Panel-Ref-Qu | $18.02 | $34.00 | Apr 1, 2026 source file |
| ECU Health North Hospital Roanoke Rapids · Roanoke Rapids, NC 36942 Tick Borne Disease Ab Panel-Ref-Qu | $19.04 | $34.00 | Apr 1, 2026 source file |
| East Carolina Health Ahoskie · Ahoskie, NC 36942 Tick Borne Disease Ab Panel-Ref-Qu | $19.04 | $34.00 | Apr 1, 2026 source file |
| East Carolina Health-Bertie Windsor · Windsor, NC 36942 Tick Borne Disease Ab Panel-Ref-Qu | $19.04 | $34.00 | Apr 1, 2026 source file |
| The Outer Banks Hospital Nags Head · Kill Devil Hills, NC 36942 Tick Borne Disease Ab Panel-Ref-Qu | $19.04 | $34.00 | Apr 1, 2026 source file |
| Vidant Chowan Hospital Edenton · Edenton, NC 36942 Tick Borne Disease Ab Panel-Ref-Qu | $19.04 | $34.00 | Apr 1, 2026 source file |
| Vidant Duplin Hospital Kenansville · Kenansville, NC 36942 Tick Borne Disease Ab Panel-Ref-Qu | $19.04 | $34.00 | Apr 1, 2026 source file |
| Vidant Edgecombe Hospital Tarboro · Rocky Mount, NC 36942 Tick Borne Disease Ab Panel-Ref-Qu | $19.04 | $34.00 | Apr 1, 2026 source file |
| High Point Regional Health High Point · Greensboro-High Point, NC HC LYME DISEASE ANTIBODY | $22.50 | $45.00 | Oct 8, 2025 source file |
| North Carolina Baptist Hospital Bermuda Run · Winston-Salem, NC HC LYME DISEASE ANTIBODY | $24.00 | $48.00 | Oct 21, 2025 source file |
| Hugh Chatham Memorial Hospital Elkin · Mount Airy, NC HC LYME DISEASE ANTIBODY | $25.50 | $51.00 | Jul 16, 2026 source file |
| North Carolina Baptist Hospital Winston Salem · Winston-Salem, NC HC LYME DISEASE ANTIBODY | $25.50 | $51.00 | Oct 8, 2025 source file |
| Wilkes Regional Medical Center North Wilkesboro · North Wilkesboro, NC HC LYME DISEASE ANTIBODY | $25.50 | $51.00 | Oct 8, 2025 source file |
| Lexington Medical Center Lexington · Winston-Salem, NC HC LYME DISEASE ANTIBODY | $26.00 | $52.00 | Oct 8, 2025 source file |
| Erlanger Murphy Medical Center Murphy · Murphy, NC HC Pbc Lyme Disease Antibdy | $46.20 | $66.00 | Jan 25, 2026 source file |
| Duke University Hospital Raleigh · Raleigh-Cary, NC Lyme Disease Ab | $86.40 | $320.00 | — source file |
| Duke University Hospital Durham · Durham, NC Lyme Disease Ab | $86.40 | $320.00 | — source file |
| Duke Regional Hospital Durham · Durham-Chapel Hill, NC Lyme Disease Ab | $86.40 | $320.00 | — source file |
| Duke Health Lake Norman Hospital Mooresville · Charlotte-Concord-Gastonia, NC-SC HC LYME DISEASE AB | $94.77 | $351.00 | — source file |
| AdventHealth Hendersonville Hendersonville · Asheville, NC HC B BURGDORFERI ANTIBODY - LYME STANDARD 2-TIER, 1ST TIER - ARUP | $96.00 | $96.00 | Apr 1, 2026 source file |
| Atrium Health Anson Wadesboro · Charlotte-Concord-Gastonia, NC-SC HC LYME DISEASE ANTIBODY | $147.20 | $294.40 | Dec 1, 2025 source file |
| Atrium Health Cleveland Shelby · Shelby-Kings Mountain, NC HC LYME DISEASE ANTIBODY | $147.20 | $294.40 | Dec 1, 2025 source file |
| Atrium Health Lincoln Lincolnton · Charlotte-Concord-Gastonia, NC-SC HC LYME DISEASE ANTIBODY | $147.20 | $294.40 | Dec 1, 2025 source file |
| Atrium Health Pineville Charlotte · Charlotte-Concord-Gastonia, NC-SC HC LYME DISEASE ANTIBODY | $147.20 | $294.40 | Dec 5, 2025 source file |
| Atrium Health Union Monroe · Charlotte-Concord-Gastonia, NC-SC HC LYME DISEASE ANTIBODY | $147.20 | $294.40 | Dec 4, 2025 source file |
| Carolinas Medical Center Charlotte · Charlotte-Concord-Gastonia, NC-SC HC LYME DISEASE ANTIBODY | $147.20 | $294.40 | Dec 5, 2025 source file |
| Carolinas Medical Center-Northeast Concord · Charlotte-Concord-Gastonia, NC-SC HC LYME DISEASE ANTIBODY | $147.20 | $294.40 | Dec 1, 2025 source file |
| Carolinas Rehabilitation Charlotte · Charlotte-Concord-Gastonia, NC-SC HC LYME DISEASE ANTIBODY | $147.20 | $294.40 | Dec 5, 2025 source file |
| Carolinas Rehabilitation Belmont · Charlotte-Concord-Gastonia, NC-SC HC LYME DISEASE ANTIBODY | $147.20 | $294.40 | Dec 5, 2025 source file |
| Carolinas Rehabilitation Concord · Concord, NC HC LYME DISEASE ANTIBODY | $147.20 | $294.40 | Dec 5, 2025 source file |
| Stanly Regional Medical Center Albermarle · Albemarle, NC HC LYME DISEASE ANTIBODY | $153.50 | $307.00 | Sep 15, 2026 source file |
| Gaston Memorial Hospital Gastonia · Charlotte-Concord-Gastonia, NC-SC CHG LYME DISEASE ANTIBODIES | $163.00 | $163.00 | May 11, 2026 source file |
| Gaston Memorial Hospital Mount Holly · Charlotte-Concord-Gastonia, NC-SC CHG LYME DISEASE ANTIBODIES | $163.00 | $163.00 | May 11, 2026 source file |
| Gaston Memorial Hospital Belmont · Charlotte-Concord-Gastonia, NC-SC CHG LYME DISEASE ANTIBODIES | $163.00 | $163.00 | May 11, 2026 source file |
| AdventHealth Polk Columbus · Columbus, NC HC LYME DISEASE ANTIBODY - LYME DISEASE (BORRELIA BURGDORFERI), QUANT | $193.10 | $193.10 | Apr 1, 2026 source file |
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Charlotte-Concord-Gastonia, NC-SC | 12 | $94.77 | $147.20 |
| Winston-Salem, NC | 3 | $24.00 | $25.50 |
| Ahoskie, NC | 1 | $19.04 | $19.04 |
| Albemarle, NC | 1 | $153.50 | $153.50 |
| Asheville, NC | 1 | $96.00 | $96.00 |
| Columbus, NC | 1 | $193.10 | $193.10 |
| Concord, NC | 1 | $147.20 | $147.20 |
| Durham, NC | 1 | $86.40 | $86.40 |
| Durham-Chapel Hill, NC | 1 | $86.40 | $86.40 |
| Edenton, NC | 1 | $19.04 | $19.04 |
| Elizabeth City, NC | 1 | $10.00 | $10.00 |
| Greensboro-High Point, NC | 1 | $22.50 | $22.50 |
| Greenville, NC | 1 | $18.02 | $18.02 |
| Kenansville, NC | 1 | $19.04 | $19.04 |
| Kill Devil Hills, NC | 1 | $19.04 | $19.04 |
| Murphy, NC | 1 | $46.20 | $46.20 |
| Mount Airy, NC | 1 | $25.50 | $25.50 |
| North Wilkesboro, NC | 1 | $25.50 | $25.50 |
| Raleigh-Cary, NC | 1 | $86.40 | $86.40 |
| Roanoke Rapids, NC | 1 | $19.04 | $19.04 |
| Rocky Mount, NC | 1 | $19.04 | $19.04 |
| Shelby-Kings Mountain, NC | 1 | $147.20 | $147.20 |
| Windsor, NC | 1 | $19.04 | $19.04 |
| Washington, NC | 1 | $18.02 | $18.02 |
What it is
This blood test looks for antibodies to the bacteria that cause Lyme disease. A positive first test is confirmed with a second test.
What the price covers
The price usually covers running the test. The blood draw (36415) is often billed as a separate line.
Lyme disease antibody test in other states
- Alabama$160.00
- Alaska$38.22
- Arizona$22.90
- Arkansas$77.00
- California$30.80
- Colorado$42.59
- Connecticut$60.83
- Delaware$169.68
- Florida$30.42
- Georgia$79.50
- Hawaii$43.20
- Idaho$71.03
- Illinois$57.50
- Indiana$115.20
- Iowa$110.07
- Kansas$147.88
- Kentucky$197.05
- Louisiana$39.60
- Maine$77.55
- Maryland$68.61
- Massachusetts$86.00
- Michigan$31.50
- Minnesota$54.40
- Mississippi$21.60
- Missouri$95.85
- Montana$125.98
- Nebraska$120.96
- Nevada$27.51
- New Hampshire$87.44
- New Jersey$19.58
- New Mexico$86.40
- New York$42.00
- North Dakota$30.92
- Ohio$76.70
- Oklahoma$74.10
- Oregon$43.66
- Pennsylvania$93.00
- Puerto Rico$46.00
- Rhode Island$113.00
- South Carolina$64.50
- South Dakota$108.80
- Tennessee$28.65
- Texas$82.70
- Utah$156.45
- Vermont$87.80
- Virginia$63.90
- Washington$85.30
- West Virginia$27.50
- Wisconsin$69.44
- Wyoming$53.37
Median cash price across the state's hospitals.