go back

Definitive Test For A Substance Without Its Own Test

Georgia 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?

$8.51

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $8.51 for this service. The price depends on where it is billed: about $3.16 from a physician practice, and about $19.05 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 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$3.16$3.16 to $14.45
FacilityA hospital or hospital-owned outpatient department$19.05$6.61 to $32.36

How much rates vary

Facilitymedian $19 · 10th to 90th $3 to $32Professionalmedian $3 · 10th to 90th $3 to $24
$0.1$1$10facility $19professional $3

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
$0.03
Typical High
$42.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$19.50
Typical High
$19.50
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.16
Median
$21.38
Typical High
$32.36
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$3.16
Typical High
$18.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.17
Median
$28.18
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$11.48
Typical High
$32.36
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$208.93
United
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$14.79
Typical High
$23.99
United
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$13.18
Typical High
$26.92

Where Georgia sits

The same service costs 2691.5 times more in Alaska than in Pennsylvania. 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.

Georgia· 42nd of 51

$8.51

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.