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Confirmatory Test for Unlisted Drugs

Georgia rates for HCPCS 80375

A precise instrument-based laboratory analysis that identifies and measures a small number of drugs or substances that have no standard named test of their own. It is used when a clinician needs to know exactly what is present rather than rely on a rapid screening result.

Rates data updated July 2026.

How much does Confirmatory Test for Unlisted Drugs cost?

$12.88

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $12.88 for this service. The price depends on where it is billed: about $8.71 from a physician practice, and about $27.54 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 6 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$8.71$8.71 to $14.45
FacilityA hospital or hospital-owned outpatient department$27.54$17.38 to $32.36

How much rates vary

Facilitymedian $28 · 10th to 90th $9 to $32Professionalmedian $9 · 10th to 90th $9 to $25
$0.1$1$10facility $28professional $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
$0.02
Median
$0.03
Typical High
$42.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$19.50
Typical High
$19.50
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$11.48
Typical High
$21.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$27.54
Typical High
$32.36
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$24.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.17
Median
$28.18
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$23.99
Typical High
$32.36
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$302.00
Typical High
$302.00
United
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$13.18
Typical High
$23.99
United
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$13.18
Typical High
$26.92

Where Georgia sits

The same service costs 2344.2 times more in Alaska 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.

Georgia· 35th of 51

$12.88

AK $70.79IL $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.