go back

Definitive Test For Fentanyl

Iowa 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?

$14.45

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $14.45 for this service. The price depends on where it is billed: about $25.70 from a physician practice, and about $0.04 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$25.70$13.18 to $36.31
FacilityA hospital or hospital-owned outpatient department$0.04$0.03 to $3.63

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $35Professionalmedian $26 · 10th to 90th $13 to $69
$0.1$1$10$100facility $0professional $26

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
$0.04
Typical High
$3.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$34.67
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$102.33
Typical High
$151.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$39.81
Typical High
$112.20
Medica
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$21.88
Typical High
$53.70
Midlands
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$36.31
Typical High
$36.31
United
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
United
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$13.18
Typical High
$47.86
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$17.38
Typical High
$17.38

Where Iowa 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.

Iowa· 28th of 51

$14.45

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.