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Oral Fluid Drug And Interaction Test

Virginia 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?

$204

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $186 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 7 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$186$123 to $204
FacilityA hospital or hospital-owned outpatient department$245$245 to $537

How much rates vary

Facilitymedian $245 · 10th to 90th $209 to $977Professionalmedian $186 · 10th to 90th $46 to $209
$50$100$200$500$1Kfacility $245professional $186

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
$186.21
Median
$512.86
Typical High
$1,230.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$208.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$977.24
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$147.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$478.63
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$281.84
Typical High
$354.81
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$295.12
Typical High
$363.08
Medcost
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$199.53
Typical High
$302.00
Medcost
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$512.86
Sentara
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$323.59
Typical High
$1,023.29
Sentara
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$323.59
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$245.47
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$112.20
Typical High
$186.21

Where Virginia 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.

Virginia· 29th of 51

$204

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.