go back

Confirmatory Test for Unlisted Drugs

Massachusetts 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?

$21.38

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $21.38 for this service. The price depends on where it is billed: about $21.38 from a physician practice, and about $47.86 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 9 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$21.38$21.38 to $32.36
FacilityA hospital or hospital-owned outpatient department$47.86$38.02 to $69.18

How much rates vary

Facilitymedian $48 · 10th to 90th $15 to $100Professionalmedian $21 · 10th to 90th $17 to $55
$0.1$1$10$100$1Kfacility $48professional $21

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
$0.02
Typical High
$100.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$17.38
Typical High
$38.90
BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$47.86
Typical High
$69.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.56
Median
$0.56
Typical High
$1.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$26.30
Typical High
$93.33
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$4,897.79
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$40.74
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$54.95
Health New England
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$29.51
Typical High
$29.51
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$17.38
Typical High
$38.90
United
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$19.95
Typical High
$26.30
United
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$21.38
Typical High
$57.54

Where Massachusetts 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.

Massachusetts· 17th of 51

$21.38

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.