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Definitive Test For Gabapentin

Pennsylvania 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?

$0.03

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $0.03 for this service. The price depends on where it is billed: about $14.13 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$14.13$7.59 to $19.05
FacilityA hospital or hospital-owned outpatient department$0.02$0.02 to $0.04

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $0Professionalmedian $14 · 10th to 90th $0 to $29
$0.1$1.0$10.0$100.0$1.0K$10.0K$100.0Kfacility $0professional $14

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
$0.03
Typical High
$0.04
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$4.37
Typical High
$4.37
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$26.92
Typical High
$36.31
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$295.12
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$12.59
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$0.02
Median
$0.03
Typical High
$0.04
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.03
Typical High
$0.07
United
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$12.30
Typical High
$16.60
United
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$14.79
Typical High
$31.62

Where Pennsylvania 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.

Pennsylvania $0.03 · 49th 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.