go back

Opiate Drug Test, Definitive

Kentucky 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 October 2026.

How much does Opiate Drug Test, Definitive cost?

$12.59

Typical negotiated rate. In Kentucky, October 2026.

Insurers have agreed to pay about $12.59 for this service. The price depends on where it is billed: about $12.30 from a physician practice, and about $50.12 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$12.30$6.76 to $15.85
FacilityA hospital or hospital-owned outpatient department$50.12$25.12 to $50.12

How much rates vary

Facilitymedian $50 · 10th to 90th $21 to $50Professionalmedian $12 · 10th to 90th $6 to $26
$0.1$1$10$100facility $50professional $12

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$0.03
Median
$0.03
Typical High
$0.03
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$5.37
Median
$6.76
Typical High
$12.59
CareSource
Setting
Facility
Modifier
None
Typical Low
$20.89
Median
$25.12
Typical High
$33.88
CareSource
Setting
Professional
Modifier
None (both parts)
Typical Low
$20.89
Median
$22.91
Typical High
$29.51
Cigna
Setting
Facility
Modifier
None
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Cigna
Setting
Facility
Modifier
TC · Technical part
Typical Low
$5.62
Median
$26.30
Typical High
$37.15
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$10.96
Median
$114.82
Typical High
$114.82
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$30.20
Median
$30.20
Typical High
$44.67
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$9.55
Median
$15.85
Typical High
$28.84

Where Kentucky sits

The same service costs 14.8 times more in Alaska than in Georgia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Kentucky· 45th of 51

$12.59

AK $100GA $6.76

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.