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Definitive Drug Testing, Single Substance

New York rates for HCPCS 80358

A laboratory test that identifies and measures one specific drug or its breakdown product in a sample, using precise instrument-based analysis rather than a quick presumptive screen. It confirms exactly what is present instead of only flagging a class of drug. It is used to confirm screening results and to check that prescribed treatment is being taken as directed.

Rates data updated July 2026.

Facilitymedian $19 · 10th–90th $5$1020%20%40%10th90th$19Professionalmedian $11 · 10th–90th $5$230%20%10th90th$11$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$0.02
Median
$19.50
Typical High
$102.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$19.50
Typical High
$19.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$5.13
Typical High
$18.20
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$13.18
Typical High
$13.18
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$13.18
Typical High
$13.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$51.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$26.30
Typical High
$114.82
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$21.38
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$5.01
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$22.91
Typical High
$23.99
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$8.91
Typical High
$30.90
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$257.04
Typical High
$53,703.18
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$9.12
Typical High
$9.12
United
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$22.39
Typical High
$28.84
United
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$16.98
Typical High
$40.74
Univera
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$6.03
Typical High
$28.84
Univera
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$23.44
Typical High
$28.84