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Confirmatory Test for Unlisted Drugs

Pennsylvania 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?

$0.03

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $0.03 for this service. The price depends on where it is billed: about $14.13 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 7 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$14.13$9.55 to $23.44
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 $14 · 10th to 90th $0 to $32
$0.1$1$10$100$1Kfacility $0professional $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. 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
$0.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.03
Typical High
$0.04
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$4.37
Typical High
$4.37
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$28.84
Typical High
$36.31
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.04
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.03
Typical High
$0.07
United
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$12.02
Typical High
$16.60
United
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$15.49
Typical High
$33.88

Where Pennsylvania 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.

Pennsylvania· 49th of 51

$0.03

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.