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Definitive Test For Gabapentin

Michigan 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?

$11.22

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $11.22 for this service. The price depends on where it is billed: about $11.22 from a physician practice, and about $0.02 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$11.22$11.22 to $16.98
FacilityA hospital or hospital-owned outpatient department$0.02$0.02 to $0.02

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $9Professionalmedian $11 · 10th to 90th $10 to $24
$0.1$1.0$10.0$100.0facility $0professional $11

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
$19.50
Median
$19.50
Typical High
$114.82
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
BCBS
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$11.22
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$11.22
Typical High
$11.22
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$19.50
Typical High
$23.99
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$44.67
Typical High
$50.12
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$21.88
Typical High
$27.54
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$18.20
Typical High
$19.50
United
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$12.02
Typical High
$20.42
United
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$10.72
Typical High
$16.22

Where Michigan 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.

Michigan $11.22 · 32nd 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.