go back

Confirming Lab Test For Specific Drugs

Virginia 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?

$6.61

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $6.61 for this service. The price depends on where it is billed: about $6.61 from a physician practice, and about $0.03 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 7 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$6.61$6.61 to $10.00
FacilityA hospital or hospital-owned outpatient department$0.03$0.03 to $30.20

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $10,000Professionalmedian $7 · 10th to 90th $6 to $14
$0.1$1$10$100$1K$10Kfacility $0professional $7

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
$0.03
Median
$0.03
Typical High
$0.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.03
Median
$0.03
Typical High
$0.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$6.61
Typical High
$11.22
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$26.92
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Medcost
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$8.32
Medcost
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$15.14
Sentara
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$10,000.00
Typical High
$10,964.78
Sentara
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$10,000.00
Typical High
$10,964.78
United
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$14.79
Typical High
$19.95

Where Virginia 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.

Virginia· 33rd 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.