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Definitive Test For Fentanyl

Connecticut rates for HCPCS 80354

Identifies fentanyl, a very strong synthetic opioid, in a sample such as urine. Standard opioid screens do not detect it, so a test aimed specifically at fentanyl is needed to establish whether it is present. It is used in pain management monitoring and where exposure to illicit fentanyl is a concern.

Rates data updated July 2026.

How much does Definitive Test For Fentanyl cost?

$18.62

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $18.62 for this service. The price depends on where it is billed: about $16.60 from a physician practice, and about $36.31 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 6 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$6.03 to $26.30
FacilityA hospital or hospital-owned outpatient department$36.31$26.30 to $57.54

How much rates vary

Facilitymedian $36 · 10th to 90th $20 to $83Professionalmedian $17 · 10th to 90th $6 to $33
$5$10$20$50$100facility $36professional $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
$57.54
Median
$57.54
Typical High
$57.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$32.36
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$30.20
Typical High
$50.12
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$14.45
Typical High
$28.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$97.72
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$20.42
Typical High
$37.15
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$33.11
Health New England
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$19.50
United
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$20.89
Typical High
$48.98

Where Connecticut sits

The same service costs 2630.3 times more in North Dakota 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.

Connecticut· 18th of 51

$18.62

ND $79.43PA $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.