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Confirmatory Opioid Drug Test

Massachusetts rates for HCPCS 80362

A laboratory test that identifies specific opioid medicines and closely related substances in a sample and names exactly which ones are present. Unlike a quick screening test that only flags a whole drug class, this one confirms the individual substance. This version covers only a small number of substances.

Rates data updated July 2026.

How much does Confirmatory Opioid Drug Test cost?

$20.89

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $20.89 for this service. The price depends on where it is billed: about $13.80 from a physician practice, and about $47.86 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$13.80$13.80 to $25.12
FacilityA hospital or hospital-owned outpatient department$47.86$38.02 to $61.66

How much rates vary

Facilitymedian $48 · 10th to 90th $12 to $95Professionalmedian $14 · 10th to 90th $14 to $48
$0.1$1.0$10.0$100.0$1.0K$10.0K$100.0Kfacility $48professional $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
$112.20
Median
$112.20
Typical High
$112.20
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$17.38
Typical High
$46.77
BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$47.86
Typical High
$69.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.56
Median
$0.56
Typical High
$1.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$26.30
Typical High
$93.33
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$4,897.79
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$40.74
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$47.86
Health New England
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$18.20
Typical High
$18.20
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$17.38
Typical High
$46.77
United
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$25.12
Typical High
$35.48
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$17.38
Typical High
$57.54

Where Massachusetts sits

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

Massachusetts $20.89 · 19th of 51
ND $79.43IL $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.