go back

Pennsylvania rates for HCPCS 80305

Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay [eg, dipsticks, cups, cards, or cartridges]), includes sample validation when performed, per date of service

Facilitymedian $37 · 10th–90th $11$1580%10%10th90th$37Professionalmedian $12 · 10th–90th $8$260%20%10th90th$12$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $37.15 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.02 / $27.54
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $10.72 / $24.55
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $19.95 / $5,888.44
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $12.59
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $72.44 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $10.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $19.05 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $14.13 / $22.39
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.89 / $18.20
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $15.14
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $12.30 / $21.88
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $57.54 / $158.49
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $16.98 / $2,818.38
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $12.59
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $25.70 / $44.67
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.96 / $19.50
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $17.78 / $18.20
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $17.78 / $18.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $12.59 / $15.14
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $7.59 / $19.05