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Confirming Lab Test For Specific Drugs

New York 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 October 2026.

How much does Confirming Lab Test For Specific Drugs cost?

$6.61

Typical negotiated rate. In New York, October 2026.

Insurers have agreed to pay about $6.61 for this service. The price depends on where it is billed: about $9.55 from a physician practice, and about $5.01 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$9.55$6.61 to $16.98
FacilityA hospital or hospital-owned outpatient department$5.01$5.01 to $5.01

How much rates vary

Facilitymedian $5 · 10th to 90th $5 to $11Professionalmedian $10 · 10th to 90th $7 to $27
$0.1$1$10$100facility $5professional $10

Distribution of negotiated rates across all payers (price axis is log-scale). 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
$0.05
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$0.02
Median
$0.02
Typical High
$0.02
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$6.61
Median
$6.61
Typical High
$26.92
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$10.23
Median
$16.60
Typical High
$20.42
CDPHP
Setting
Professional
Modifier
None (both parts)
Typical Low
$16.60
Median
$16.60
Typical High
$16.60
Cigna
Setting
Facility
Modifier
None
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$21.38
Median
$21.38
Typical High
$26.92
Emblem Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$5.01
Median
$5.01
Typical High
$5.01
Excellus BCBS
Setting
Facility
Modifier
None
Typical Low
$5.01
Median
$5.01
Typical High
$5.01
Excellus BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$5.01
Median
$5.01
Typical High
$6.46
MVP Health Care
Setting
Facility
Modifier
None
Typical Low
$10.96
Median
$19.95
Typical High
$257.04
MVP Health Care
Setting
Professional
Modifier
None (both parts)
Typical Low
$16.98
Median
$16.98
Typical High
$16.98
Univera
Setting
Facility
Modifier
None
Typical Low
$5.01
Median
$5.01
Typical High
$6.03
Univera
Setting
Professional
Modifier
None (both parts)
Typical Low
$5.01
Median
$5.01
Typical High
$6.46

Where New York 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.

New York· 46th of 51

$6.61

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.