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Definitive Test For Tapentadol

Virginia rates for HCPCS 80372

Identifies tapentadol, a prescription opioid painkiller, in a sample such as urine. Laboratory equipment names the exact substance present rather than flagging the opioid class as a whole. It is used to check that a prescribed medicine is being taken as directed, or to confirm a screening result.

Rates data updated July 2026.

How much does Definitive Test For Tapentadol cost?

$10.96

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $10.96 for this service. The price depends on where it is billed: about $8.51 from a physician practice, and about $23.44 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 7 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$8.51$5.01 to $17.78
FacilityA hospital or hospital-owned outpatient department$23.44$0.03 to $33.88

How much rates vary

Facilitymedian $23 · 10th to 90th $0 to $7,413Professionalmedian $9 · 10th to 90th $5 to $32
$0.1$1$10$100$1K$10Kfacility $23professional $9

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
$33.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.03
Median
$0.03
Typical High
$0.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$14.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$46.77
Typical High
$69.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$16.60
Typical High
$35.48
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$33.88
Typical High
$35.48
Medcost
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$28.84
Medcost
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$12.88
Sentara
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$28.18
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$28.18
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$15.49
Typical High
$29.51
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$12.30
Typical High
$22.91

Where Virginia sits

The same service costs 2398.8 times more in North Dakota than in Illinois. 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.

Virginia· 36th of 51

$10.96

ND $72.44IL $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.