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Oral Fluid Drug And Interaction Test

Kentucky 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?

$195

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $191 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$191$45.71 to $204
FacilityA hospital or hospital-owned outpatient department$245$204 to $363

How much rates vary

Facilitymedian $245 · 10th to 90th $204 to $589Professionalmedian $191 · 10th to 90th $39 to $245
$100$1K$10Kfacility $245professional $191

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
$204.17
Median
$204.17
Typical High
$588.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$204.17
Typical High
$245.47
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$245.47
Typical High
$257.04
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$45.71
Typical High
$45.71
CareSource
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$4,365.16
Typical High
$46,773.51
CareSource
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$331.13
Typical High
$4,570.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$363.08
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$1,202.26
Typical High
$1,202.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$245.47
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$147.91
Typical High
$245.47

Where Kentucky 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.

Kentucky· 41st of 51

$195

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.