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Definitive Test for Buprenorphine

Pennsylvania 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?

$0.03

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $0.03 for this service. The price depends on where it is billed: about $5.01 from a physician practice, and about $0.02 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$5.01$0.03 to $20.42
FacilityA hospital or hospital-owned outpatient department$0.02$0.02 to $0.04

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $0Professionalmedian $5 · 10th to 90th $0 to $20
$0.1$1$10$100$1Kfacility $0professional $5

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
$0.02
Median
$0.03
Typical High
$0.04
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$6.76
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$20.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$16.98
Typical High
$21.38
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$5.01
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$467.74
Typical High
$977.24
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$0.02
Median
$0.03
Typical High
$0.04
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.03
Typical High
$0.07
United
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$26.92

Where Pennsylvania 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.

Pennsylvania· 47th of 51

$0.03

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.