go back

Confirmatory Test for Unlisted Drugs

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $13.18 for this service. The price depends on where it is billed: about $10.72 from a physician practice, and about $21.38 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$10.72$8.71 to $18.20
FacilityA hospital or hospital-owned outpatient department$21.38$0.03 to $33.11

How much rates vary

Facilitymedian $21 · 10th to 90th $0 to $10,000Professionalmedian $11 · 10th to 90th $9 to $45
$0.1$1$10$100$1K$10Kfacility $21professional $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
$0.03
Median
$0.03
Typical High
$0.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.03
Median
$0.03
Typical High
$0.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$14.45
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$75.86
Typical High
$102.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$46.77
Typical High
$69.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$18.20
Typical High
$35.48
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$33.88
Typical High
$35.48
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1.74
Median
$1.74
Typical High
$28.84
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1.74
Median
$1.74
Typical High
$16.22
Sentara
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$29.51
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$29.51
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$13.18
Typical High
$26.30
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$13.18
Typical High
$23.99

Where Virginia 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.

Virginia· 32nd 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.