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Definitive Cocaine Testing

Pennsylvania rates for HCPCS 80353

Laboratory test that confirms whether cocaine or its breakdown products are present in a sample and identifies them specifically. Unlike a quick screening test, this method separates and identifies the substance itself, so the answer is definitive. It is used to confirm or rule out a screening result.

Rates data updated July 2026.

How much does Definitive Cocaine Testing 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 $14.45 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$14.45$8.51 to $21.88
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 $8Professionalmedian $14 · 10th to 90th $0 to $31
$0.1$1$10$100$1Kfacility $0professional $14

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
$4.37
Median
$4.37
Typical High
$4.37
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$93.33
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$28.18
Typical High
$36.31
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
$724.44
Typical High
$741.31
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$13.18
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
Facility
Modifier
Global
Typical Low
$9.55
Median
$12.30
Typical High
$16.60
United
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$15.14
Typical High
$31.62

Where Pennsylvania sits

The same service costs 2344.2 times more in Alaska than in Pennsylvania. 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· 51st of 51

$0.03

AK $70.79PA $0.03

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.