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Definitive Test For Fentanyl

South Dakota 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?

$27.54

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $27.54 for this service. The price depends on where it is billed: about $27.54 from a physician practice, and about $27.54 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 5 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$27.54$17.38 to $34.67
FacilityA hospital or hospital-owned outpatient department$27.54$27.54 to $27.54

How much rates vary

Facilitymedian $28 · 10th to 90th $0 to $28Professionalmedian $28 · 10th to 90th $13 to $35
$0.1$1$10$100facility $28professional $28

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
Cigna
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$27.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$27.54
Typical High
$34.67
Medica
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$56.23
Typical High
$112.20
Medica
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$28.84
United
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$14.45
Typical High
$25.70
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$17.38

Where South Dakota 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 Dakota· 7th of 51

$27.54

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.