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Definitive Test For A Substance Without Its Own Test

Illinois 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?

$0.03

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $0.03 for this service. The price depends on where it is billed: about $14.45 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 4 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$14.45$0.03 to $58.88
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 $22Professionalmedian $14 · 10th to 90th $0 to $129
$0.1$1$10$100facility $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
$21.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.03
Median
$0.03
Typical High
$21.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.47
Median
$0.47
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$19.50
Typical High
$33.11
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$114.82
Typical High
$199.53
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$19.05
Typical High
$29.51
United
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$14.45
Typical High
$23.99

Where Illinois 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.

Illinois· 49th of 51

$0.03

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.