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Oral Fluid Drug And Interaction Test

New York 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 New York, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $135 from a physician practice, and about $427 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 9 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$135$66.07 to $200
FacilityA hospital or hospital-owned outpatient department$427$245 to $575

How much rates vary

Facilitymedian $427 · 10th to 90th $200 to $676Professionalmedian $135 · 10th to 90th $46 to $245
$50$100$200$500$1Kfacility $427professional $135

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
$199.53
Median
$446.68
Typical High
$676.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$208.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$257.04
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$257.04
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$245.47
Typical High
$245.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$524.81
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$1,202.26
Typical High
$1,202.26
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$407.38
Typical High
$954.99
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$147.91
Typical High
$478.63
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$234.42
Typical High
$269.15
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$467.74
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$186.21
Typical High
$512.86
United
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$245.47
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$147.91
Typical High
$354.81
Univera
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$245.47
Typical High
$281.84
Univera
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$245.47
Typical High
$281.84

Where New York 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 York· 33rd 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.