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Definitive Test For Fentanyl

South Carolina 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?

$12.02

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $12.02 for this service. The price depends on where it is billed: about $14.45 from a physician practice, and about $0.06 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 6 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$14.45$11.22 to $25.70
FacilityA hospital or hospital-owned outpatient department$0.06$0.06 to $0.06

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $13Professionalmedian $14 · 10th to 90th $10 to $30
$0.1$1$10facility $0professional $14

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$0.05
Median
$0.06
Typical High
$0.06
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$10.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$15.85
Typical High
$24.55
Medcost
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$18.20
Typical High
$22.91
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$13.18
Typical High
$26.30
United
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$13.18
Typical High
$26.30

Where South Carolina 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.

South Carolina· 37th of 51

$12.02

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.