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Oral Fluid Drug And Interaction Test

Texas 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?

$186

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $186 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $282 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$166$148 to $186
FacilityA hospital or hospital-owned outpatient department$282$186 to $457

How much rates vary

Facilitymedian $282 · 10th to 90th $151 to $1,148Professionalmedian $166 · 10th to 90th $105 to $245
$100$200$500$1Kfacility $282professional $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
$151.36
Median
$309.03
Typical High
$1,096.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$173.78
Typical High
$257.04
Christus
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$467.74
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$281.84
Typical High
$380.19
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$245.47
Typical High
$281.84
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$245.47
Typical High
$245.47
Molina
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Providence
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$245.47
Typical High
$602.56
Providence
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$234.42
Typical High
$263.03
United
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$245.47
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$199.53
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$169.82
Typical High
$331.13

Where Texas 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.

Texas· 43rd of 51

$186

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.