Definitive Opioid Drug Testing

Vermont 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 October 2026.

How much does Definitive Opioid Drug Testing cost?

$28.18

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $28.18 for this service. Most negotiated rates run $22.91 to $35.48.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $28 · 10th to 90th $23 to $56

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Cigna Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $35.48	Professional	None	$28.18	$28.18	$35.48
MVP Health Care Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91	Professional	None	$22.91	$22.91	$22.91
United Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23	Professional	None	$56.23	$56.23	$56.23

Where Vermont sits

The same service costs 3981.1 times more in Montana than in Tennessee. 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.

Vermont· 18th of 51

$28.18

MT $79.43TN $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.