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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 October 2026.

How much does Definitive Test for Buprenorphine cost?

$20.42

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $20.42 for this service. The price depends on where it is billed: about $20.42 from a physician practice, and about $100 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$20.42$16.60 to $20.42
FacilityA hospital or hospital-owned outpatient department$100$0.04 to $5,012

How much rates vary

Facilitymedian $100 · 10th to 90th $0 to $5,012Professionalmedian $20 · 10th to 90th $5 to $20
$0.1$1$10$100$1K$10K$100Kfacility $100professional $20

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$0.02
Median
$0.02
Typical High
$0.04
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$0.02
Median
$0.02
Typical High
$0.04
Ambetter
Setting
Professional
Modifier
None (both parts)
Typical Low
$6.76
Median
$6.76
Typical High
$6.76
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$5,011.87
Typical High
$79,432.82
Capital Blue Cross
Setting
Professional
Modifier
None (both parts)
Typical Low
$16.60
Median
$20.42
Typical High
$20.42
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$16.98
Median
$16.98
Typical High
$21.38
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$5.01
Median
$5.01
Typical High
$5.01
Emblem Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$5.01
Median
$5.01
Typical High
$5.01
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$7.94
Median
$100.00
Typical High
$707.95
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$0.02
Median
$0.02
Typical High
$0.04
Martin's Point
Setting
Professional
Modifier
None (both parts)
Typical Low
$0.04
Median
$0.04
Typical High
$0.04

Where Pennsylvania sits

The same service costs 3981.1 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· 19th of 51

$20.42

MT $79.43TN $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.