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Definitive Test For Gabapentin

Ohio 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?

$4.27

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $4.27 for this service. The price depends on where it is billed: about $5.25 from a physician practice, and about $0.03 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 9 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$5.25$3.72 to $10.72
FacilityA hospital or hospital-owned outpatient department$0.03$0.02 to $0.03

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $14Professionalmedian $5 · 10th to 90th $4 to $18
$0.1$1.0$10.0$100.0facility $0professional $5

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
$0.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.04
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$10.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.72
Median
$4.90
Typical High
$14.79
CareSource
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$25.12
CareSource
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$20.42
Typical High
$29.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.35
Median
$4.17
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$13.18
Typical High
$45.71
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$0.35
Median
$1.51
Typical High
$7.41
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$13.18
Typical High
$31.62
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$13.49
Typical High
$23.99
United
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$10.72
Typical High
$23.99

Where Ohio 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.

Ohio $4.27 · 46th 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.