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Oral Fluid Drug And Interaction Test

Georgia rates for HCPCS 0116U

Checks a saliva (oral fluid) sample for 35 medications and drugs as part of monitoring a person's treatment. Alongside the drug findings it reports a rating of the risk that the medications involved could interact with one another.

Rates data updated July 2026.

How much does Oral Fluid Drug And Interaction Test cost?

$200

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $245 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$166$148 to $214
FacilityA hospital or hospital-owned outpatient department$245$182 to $331

How much rates vary

Facilitymedian $245 · 10th to 90th $95 to $457Professionalmedian $166 · 10th to 90th $46 to $234
$50$100$200$500$1Kfacility $245professional $166

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
$165.96
Median
$223.87
Typical High
$691.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$190.55
Typical High
$234.42
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$281.84
Typical High
$331.13
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$309.03
CareSource
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$537.03
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$302.00
Typical High
$380.19
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$281.84
Typical High
$323.59
United
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$223.87
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$147.91
Typical High
$245.47

Where Georgia sits

The same service costs 3.0 times more in South Dakota than in Connecticut. 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.

Georgia· 37th of 51

$200

SD $479CT $162

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.