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Confirmatory Test for Unlisted Drugs

North Carolina 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?

$15.85

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $15.85 for this service. The price depends on where it is billed: about $14.45 from a physician practice, and about $38.02 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$14.45$11.22 to $22.39
FacilityA hospital or hospital-owned outpatient department$38.02$22.39 to $151

How much rates vary

Facilitymedian $38 · 10th to 90th $8 to $151Professionalmedian $14 · 10th to 90th $10 to $29
$0.1$1$10$100facility $38professional $14

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. Small sample; interpret with caution. 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
$38.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
BCBS
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$64.57
Typical High
$64.57
BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$19.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$23.99
Typical High
$32.36
Medcost
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
Medcost
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$18.20
Typical High
$18.20
United
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$22.39
Typical High
$26.92
United
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$12.02
Typical High
$25.12
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36

Where North Carolina 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.

North Carolina· 25th of 51

$15.85

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.