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Confirmatory Test for Unlisted Drugs

Montana 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?

$42.66

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $42.66 for this service. The price depends on where it is billed: about $42.66 from a physician practice, and about $42.66 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 5 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$42.66$22.91 to $42.66
FacilityA hospital or hospital-owned outpatient department$42.66$42.66 to $89.13

How much rates vary

Facilitymedian $43 · 10th to 90th $40 to $69,183Professionalmedian $43 · 10th to 90th $10 to $44
$10$100$1K$10K$100Kfacility $43professional $43

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
BCBS
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$69,183.10
Typical High
$91,201.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$51.29
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$30.20
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$42.66
Typical High
$43.65
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$42.66
Typical High
$43.65
Providence
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$51.29
Typical High
$147.91
Providence
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$32.36
Typical High
$56.23
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.23
Typical High
$25.70

Where Montana 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.

Montana· 5th of 51

$42.66

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.