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Definitive Test For Fentanyl

Georgia 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?

$12.02

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $12.02 for this service. The price depends on where it is billed: about $6.03 from a physician practice, and about $21.38 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$6.03$6.03 to $14.45
FacilityA hospital or hospital-owned outpatient department$21.38$12.02 to $32.36

How much rates vary

Facilitymedian $21 · 10th to 90th $6 to $32Professionalmedian $6 · 10th to 90th $6 to $22
$0.1$1$10facility $21professional $6

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
$0.03
Typical High
$42.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$19.50
Typical High
$19.50
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$6.17
Typical High
$10.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$23.99
Typical High
$32.36
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$18.62
CareSource
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$23.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.17
Median
$28.18
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$16.60
Typical High
$32.36
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$14.79
Typical High
$23.99
United
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$13.49
Typical High
$26.92

Where Georgia 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.

Georgia· 36th of 51

$12.02

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.