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Confirmatory Test for Unlisted Drugs

Michigan 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?

$10.96

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $10.96 for this service. The price depends on where it is billed: about $10.96 from a physician practice, and about $0.02 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$10.96$10.96 to $22.91
FacilityA hospital or hospital-owned outpatient department$0.02$0.02 to $0.02

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $0Professionalmedian $11 · 10th to 90th $10 to $26
$0.1$1$10facility $0professional $11

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
$0.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$120.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$10.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$10.96
Typical High
$10.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$23.99
Typical High
$30.20
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$60.26
Typical High
$67.61
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$25.70
Typical High
$32.36
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$23.99
United
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$10.00
Typical High
$15.49
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$13.18
Typical High
$23.99

Where Michigan 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.

Michigan· 41st of 51

$10.96

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.