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Confirmatory Test for Unlisted Drugs

Ohio 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?

$9.12

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $9.12 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 8 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$8.71 to $14.13
FacilityA hospital or hospital-owned outpatient department$0.02$0.02 to $0.03

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $0Professionalmedian $11 · 10th to 90th $8 to $26
$0.1$1$10$100facility $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
$0.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.04
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$5.89
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$11.22
Typical High
$24.55
CareSource
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.35
Median
$4.17
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$13.18
Typical High
$45.71
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$0.35
Median
$1.51
Typical High
$4.17
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$45.71
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$14.45
Typical High
$23.99
United
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$13.18
Typical High
$25.70

Where Ohio 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.

Ohio· 46th of 51

$9.12

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.