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Definitive Test For Gabapentin

North Carolina 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?

$14.45

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $14.45 for this service. The price depends on where it is billed: about $11.48 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 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$11.48$8.91 to $16.98
FacilityA hospital or hospital-owned outpatient department$27.54$17.78 to $151

How much rates vary

Facilitymedian $28 · 10th to 90th $6 to $151Professionalmedian $11 · 10th to 90th $9 to $26
$0.1$1.0$10.0$100.0facility $28professional $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. 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
$38.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$2.34
Median
$2.34
Typical High
$2.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$27.54
Typical High
$27.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$10.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$22.91
Typical High
$32.36
Medcost
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$16.98
Typical High
$16.98
Medcost
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$16.98
Typical High
$16.98
United
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$17.78
Typical High
$21.88
United
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$11.48
Typical High
$22.39
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36

Where North Carolina 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.

North Carolina $14.45 · 24th 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.