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Definitive Test For Fentanyl

Kentucky 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?

$6.03

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $6.03 for this service. The price depends on where it is billed: about $6.03 from a physician practice, and about $15.14 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 $12.88
FacilityA hospital or hospital-owned outpatient department$15.14$0.03 to $50.12

How much rates vary

Facilitymedian $15 · 10th to 90th $0 to $50Professionalmedian $6 · 10th to 90th $6 to $22
$0.1$1$10$100facility $15professional $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
$0.03
Median
$0.03
Typical High
$0.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.03
Median
$0.03
Typical High
$0.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$11.22
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$12.59
CareSource
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$28.18
Typical High
$29.51
CareSource
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$25.12
Typical High
$29.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$114.82
Typical High
$114.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$44.67
United
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$15.14
Typical High
$26.30
United
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$13.18
Typical High
$25.70

Where Kentucky 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.

Kentucky· 46th of 51

$6.03

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.