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Confirmatory Test for Unlisted Drugs

Tennessee 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?

$13.18

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $13.18 for this service. The price depends on where it is billed: about $12.88 from a physician practice, and about $19.95 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$12.88$10.23 to $21.38
FacilityA hospital or hospital-owned outpatient department$19.95$0.02 to $151

How much rates vary

Facilitymedian $20 · 10th to 90th $0 to $151Professionalmedian $13 · 10th to 90th $8 to $26
$0.1$1$10$100facility $20professional $13

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
$0.02
Median
$0.02
Typical High
$0.02
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$5.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$60.26
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$23.99
Typical High
$33.11
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
United
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$10.72
Typical High
$19.95
United
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$12.88
Typical High
$25.70

Where Tennessee 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.

Tennessee· 33rd of 51

$13.18

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.