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Confirming Lab Test For Specific Drugs

Massachusetts rates for HCPCS 80351

A laboratory analysis that detects particular drugs or their breakdown products in a urine or blood sample and names each one found. Unlike a rapid screening check, it distinguishes closely related substances from one another and can measure how much is present. It supports treatment monitoring, pain management, and substance-use care.

Rates data updated July 2026.

How much does Confirming Lab Test For Specific Drugs cost?

$16.60

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $16.60 for this service. The price depends on where it is billed: about $16.60 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 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$16.60$16.60 to $26.92
FacilityA hospital or hospital-owned outpatient department$20.42$20.42 to $29.51

How much rates vary

Facilitymedian $20 · 10th to 90th $17 to $42Professionalmedian $17 · 10th to 90th $17 to $46
$0.1$1$10$100$1Kfacility $20professional $17

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
$102.33
Median
$102.33
Typical High
$102.33
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
$16.60
Median
$22.91
Typical High
$33.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$26.92
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
$16.60
Median
$16.60
Typical High
$45.71
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
$14.79
Median
$16.60
Typical High
$19.95
United
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$16.60
Typical High
$47.86

Where Massachusetts 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.

Massachusetts· 19th of 51

$16.60

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.