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Definitive Opioid Drug Testing

New York 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.

Facilitymedian $5 · 10th–90th $0$210%20%10th90th$5Professionalmedian $9 · 10th–90th $9$260%50%90th$9$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
$0.04
Typical High
$0.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$295.12
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$8.51
Typical High
$25.70
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$21.38
Typical High
$21.38
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$21.38
Typical High
$21.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$35.48
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$5.01
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
$5.01
Typical High
$6.46
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
$22.91
Median
$22.91
Typical High
$22.91
United
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$21.38
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$67.61
Typical High
$75.86
Univera
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$6.03
Univera
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.25
Typical High
$20.89