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Definitive Test For Fentanyl

Ohio 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?

$6.61

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $6.61 for this service. The price depends on where it is billed: about $7.94 from a physician practice, and about $0.03 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$7.94$6.03 to $12.88
FacilityA hospital or hospital-owned outpatient department$0.03$0.02 to $0.03

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $4Professionalmedian $8 · 10th to 90th $6 to $20
$0.1$1$10$100facility $0professional $8

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
$0.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.04
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$10.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$7.59
Typical High
$18.20
CareSource
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$25.12
CareSource
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$20.42
Typical High
$29.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.35
Median
$4.17
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$13.18
Typical High
$45.71
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$0.35
Median
$4.17
Typical High
$56.23
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$13.18
Typical High
$31.62
Molina
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$50.12
Typical High
$60.26
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$14.45
Typical High
$26.30
United
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$13.18
Typical High
$25.70

Where Ohio 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.

Ohio· 45th of 51

$6.61

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.