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Oral Fluid Drug And Interaction Test

New Jersey 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?

$209

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $191 from a physician practice, and about $417 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 5 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$148 to $209
FacilityA hospital or hospital-owned outpatient department$417$324 to $1,122

How much rates vary

Facilitymedian $417 · 10th to 90th $240 to $2,239Professionalmedian $191 · 10th to 90th $132 to $282
$100$500$2K$10Kfacility $417professional $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
$316.23
Median
$331.13
Typical High
$1,548.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$190.55
Typical High
$281.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$549.54
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$302.00
Typical High
$380.19
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$114.82
Typical High
$144.54
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$10,471.29
Typical High
$25,118.86
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$162.18
Typical High
$199.53
United
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$245.47
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$147.91
Typical High
$245.47

Where New Jersey 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.

New Jersey· 26th of 51

$209

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.