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Oral Fluid Drug And Interaction Test

Ohio 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 Ohio, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $105 from a physician practice, and about $288 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 8 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$105$46.77 to $200
FacilityA hospital or hospital-owned outpatient department$288$245 to $468

How much rates vary

Facilitymedian $288 · 10th to 90th $200 to $589Professionalmedian $105 · 10th to 90th $46 to $309
$50$100$200$500$1Kfacility $288professional $105

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
$234.42
Median
$426.58
Typical High
$588.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$537.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$263.03
Typical High
$457.09
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$53.70
Typical High
$257.04
CareSource
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$281.84
CareSource
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$3,890.45
Typical High
$6,760.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$309.03
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$323.59
Typical High
$1,202.26
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$316.23
Typical High
$1,023.29
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Molina
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$436.52
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$257.04
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$245.47
Typical High
$371.54
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$147.91
Typical High
$263.03

Where Ohio 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.

Ohio· 35th 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.