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Definitive Test For Fentanyl

Massachusetts 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?

$19.95

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $19.95 for this service. The price depends on where it is billed: about $15.14 from a physician practice, and about $47.86 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 9 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$15.14$15.14 to $25.12
FacilityA hospital or hospital-owned outpatient department$47.86$38.02 to $64.57

How much rates vary

Facilitymedian $48 · 10th to 90th $12 to $95Professionalmedian $15 · 10th to 90th $15 to $32
$0.1$1$10$100$1Kfacility $48professional $15

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
$151.36
Median
$151.36
Typical High
$151.36
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$17.38
Typical High
$38.90
BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$47.86
Typical High
$69.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.56
Median
$0.56
Typical High
$1.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$20.42
Typical High
$93.33
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$4,897.79
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$40.74
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$32.36
Health New England
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$75.86
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$17.38
Typical High
$38.90
United
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$20.42
Typical High
$29.51
United
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$17.38
Typical High
$39.81

Where Massachusetts 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.

Massachusetts· 16th of 51

$19.95

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.