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Definitive Test For Fentanyl

Michigan 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?

$16.22

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $16.22 for this service. The price depends on where it is billed: about $16.22 from a physician practice, and about $0.02 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$16.22$16.22 to $22.91
FacilityA hospital or hospital-owned outpatient department$0.02$0.02 to $0.02

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $0Professionalmedian $16 · 10th to 90th $13 to $26
$0.1$1$10facility $0professional $16

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
$0.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$144.54
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$5.89
BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$16.22
Typical High
$16.22
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$20.42
Typical High
$26.30
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$60.26
Typical High
$67.61
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$25.70
Typical High
$32.36
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$26.30
United
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$10.00
Typical High
$15.49
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$13.80
Typical High
$23.99

Where Michigan 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.

Michigan· 22nd of 51

$16.22

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.