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Opiate Drug Test, Definitive

Illinois rates for HCPCS 80361

Identifies and measures opiates, the group of pain-relieving drugs that includes morphine and codeine, and names which ones are actually present in a sample. A rapid screening check can only suggest that something in the group may be there; this test settles the question and reports the amount.

Rates data updated July 2026.

How much does Opiate Drug Test, Definitive cost?

$0.04

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $0.04 for this service. The price depends on where it is billed: about $16.98 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 6 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$16.98$0.03 to $46.77
FacilityA hospital or hospital-owned outpatient department$0.03$0.02 to $22.91

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $54Professionalmedian $17 · 10th to 90th $0 to $219
$0.1$1.0$10.0$100.0facility $0professional $17

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
$21.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.03
Median
$0.03
Typical High
$21.88
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$4.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$54.95
Typical High
$112.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.47
Median
$0.47
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$27.54
Typical High
$36.31
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$194.98
Typical High
$323.59
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$19.05
Typical High
$41.69
United
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$15.85
Typical High
$31.62

Where Illinois sits

The same service costs 2630.3 times more in North Dakota than in New Jersey. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Illinois $0.04 · 49th of 51
ND $79.43NJ $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.