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Definitive Opioid Drug Testing

Florida rates for HCPCS 80363

A laboratory test that identifies and measures opioid and opioid-like medicines in a urine or blood sample, naming each substance found rather than giving a simple positive or negative answer. It is used to check that prescribed pain medicine is being taken as directed, or to confirm exactly which substances are present when that matters for treatment.

Rates data updated July 2026.

How much does Definitive Opioid Drug Testing cost?

$12.88

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $12.88 for this service. The price depends on where it is billed: about $6.61 from a physician practice, and about $174 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 8 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$6.61$6.61 to $16.98
FacilityA hospital or hospital-owned outpatient department$174$0.03 to $355

How much rates vary

Facilitymedian $174 · 10th to 90th $0 to $501Professionalmedian $7 · 10th to 90th $5 to $28
$0.1$1.0$10.0$100.0$1.0Kfacility $174professional $7

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
$0.03
Median
$0.03
Typical High
$173.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$40.74
Typical High
$933.25
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$4.57
Typical High
$5.01
AvMed
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$35.48
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$354.81
Typical High
$562.34
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$6.61
Typical High
$23.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$13.49
Typical High
$16.98
United
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$12.88
Typical High
$21.38
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$16.98
Typical High
$21.38

Where Florida sits

The same service costs 4786.3 times more in Washington, DC than in Tennessee. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Florida $12.88 · 30th of 51
DC $95.50TN $0.02

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.