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Definitive Test For Fentanyl

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $12.02 for this service. The price depends on where it is billed: about $9.77 from a physician practice, and about $25.70 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$9.77$6.03 to $18.20
FacilityA hospital or hospital-owned outpatient department$25.70$0.03 to $48.98

How much rates vary

Facilitymedian $26 · 10th to 90th $0 to $4,074Professionalmedian $10 · 10th to 90th $6 to $32
$0.1$1$10$100$1K$10Kfacility $26professional $10

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
$0.03
Median
$0.03
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.03
Median
$0.03
Typical High
$0.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$14.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$46.77
Typical High
$69.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$16.60
Typical High
$35.48
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$33.88
Typical High
$35.48
Medcost
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$5.37
Typical High
$28.84
Medcost
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$5.37
Typical High
$15.14
Sentara
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$28.18
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$28.18
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$14.79
Typical High
$29.51
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$13.49
Typical High
$23.99

Where Virginia 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.

Virginia· 35th 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.