go back

Definitive Test For Fentanyl

Tennessee 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?

$13.49

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $13.49 for this service. The price depends on where it is billed: about $13.18 from a physician practice, and about $21.88 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$13.18$10.23 to $20.42
FacilityA hospital or hospital-owned outpatient department$21.88$0.02 to $151

How much rates vary

Facilitymedian $22 · 10th to 90th $0 to $151Professionalmedian $13 · 10th to 90th $6 to $26
$0.1$1$10$100facility $22professional $13

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
$0.02
Median
$0.02
Typical High
$0.02
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$2.95
Typical High
$5.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$60.26
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$20.42
Typical High
$33.11
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
United
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$12.02
Typical High
$21.88
United
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$13.18
Typical High
$26.30

Where Tennessee 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.

Tennessee· 32nd of 51

$13.49

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.