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Definitive Test for Buprenorphine

Massachusetts rates for HCPCS 80348

A laboratory test that confirms whether buprenorphine — a medicine used to treat opioid dependence and, in some forms, pain — and its breakdown products are present in a sample, and can measure how much. Unlike a rapid screening cup, it identifies the specific substance rather than flagging a broad group. Results are used to check that a prescribed medicine is being taken as intended or to look into an unexpected screening result.

Rates data updated July 2026.

How much does Definitive Test for Buprenorphine cost?

$16.22

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $16.22 for this service. The price depends on where it is billed: about $16.22 from a physician practice, and about $20.42 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$16.22$16.22 to $26.30
FacilityA hospital or hospital-owned outpatient department$20.42$16.22 to $29.51

How much rates vary

Facilitymedian $20 · 10th to 90th $14 to $41Professionalmedian $16 · 10th to 90th $16 to $39
$0.1$1$10$100$1Kfacility $20professional $16

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
$0.02
Median
$0.02
Typical High
$0.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$20.42
Typical High
$32.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$16.98
Typical High
$21.38
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$5,888.44
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$38.90
Health New England
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$151.36
Typical High
$251.19
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
United
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$16.22
Typical High
$19.50
United
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$16.22
Typical High
$47.86

Where Massachusetts sits

The same service costs 5888.4 times more in Montana than in Tennessee. 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.

Massachusetts· 20th of 51

$16.22

MT $117TN $0.02

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.