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Definitive Test For Gabapentin

Kentucky rates for HCPCS 80355

Identifies gabapentin, a medicine used for nerve pain and seizures, in a sample such as urine. Laboratory equipment names the exact substance present rather than flagging a broad class. It is used to check that a prescribed medicine is being taken as directed, or to confirm a screening result.

Rates data updated July 2026.

How much does Definitive Test For Gabapentin cost?

$18.20

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $18.20 for this service. The price depends on where it is billed: about $18.20 from a physician practice, and about $9.12 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$18.20$13.49 to $18.20
FacilityA hospital or hospital-owned outpatient department$9.12$0.03 to $29.51

How much rates vary

Facilitymedian $9 · 10th to 90th $0 to $50Professionalmedian $18 · 10th to 90th $4 to $23
$0.1$1.0$10.0$100.0$1.0K$10.0Kfacility $9professional $18

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
$0.03
Median
$0.03
Typical High
$0.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.03
Median
$0.03
Typical High
$0.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$8.32
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.72
Median
$18.20
Typical High
$18.20
CareSource
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$28.18
Typical High
$29.51
CareSource
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$25.12
Typical High
$29.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$114.82
Typical High
$114.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$44.67
United
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$10.72
Typical High
$20.42
United
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$10.72
Typical High
$23.44

Where Kentucky sits

The same service costs 2454.7 times more in West Virginia than in Illinois. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Kentucky $18.20 · 15th of 51
WV $74.13IL $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.