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Definitive Test For A Substance Without Its Own Test

Colorado rates for HCPCS 80377

A laboratory test that confirms and measures a specific drug or substance in a sample when that substance has no standard named test of its own. The laboratory identifies exactly what is present and how much, rather than simply flagging that something from a broad group may be there.

Rates data updated July 2026.

How much does Definitive Test For A Substance Without Its Own Test cost?

$10.23

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $10.23 for this service. The price depends on where it is billed: about $10.72 from a physician practice, and about $0.05 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$10.72$10.23 to $14.45
FacilityA hospital or hospital-owned outpatient department$0.05$0.03 to $0.06

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $0Professionalmedian $11 · 10th to 90th $3 to $18
$0.1$1.0$10.0$100.0$1.0Kfacility $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
$0.05
Typical High
$0.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.07
Typical High
$0.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$10.72
Typical High
$18.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.48
Median
$0.48
Typical High
$38.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$12.59
Typical High
$25.12
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Select Health
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
United
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$10.72
Typical High
$25.12
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.23
Typical High
$22.39

Where Colorado sits

The same service costs 2691.5 times more in Alaska than in Pennsylvania. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Colorado $10.23 · 37th of 51
AK $81.28PA $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.