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Definitive Test For A Substance Without Its Own Test

Kentucky 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 October 2026.

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

$14.13

Typical negotiated rate. In Kentucky, October 2026.

Insurers have agreed to pay about $14.13 for this service. The price depends on where it is billed: about $13.49 from a physician practice, and about $50.12 from a hospital or other facility.

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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$13.49$8.51 to $14.13
FacilityA hospital or hospital-owned outpatient department$50.12$50.12 to $50.12

How much rates vary

Facilitymedian $50 · 10th to 90th $25 to $50Professionalmedian $13 · 10th to 90th $6 to $26
$0.1$1$10$100facility $50professional $13

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$0.03
Median
$0.03
Typical High
$0.03
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$3.16
Median
$14.13
Typical High
$14.13
CareSource
Setting
Facility
Modifier
None
Typical Low
$25.12
Median
$25.12
Typical High
$29.51
CareSource
Setting
Professional
Modifier
None (both parts)
Typical Low
$22.39
Median
$22.91
Typical High
$27.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Cigna
Setting
Facility
Modifier
TC · Technical part
Typical Low
$5.62
Median
$26.30
Typical High
$37.15
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$10.96
Median
$114.82
Typical High
$114.82
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$30.20
Median
$30.20
Typical High
$44.67
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$9.55
Median
$13.18
Typical High
$23.99

Where Kentucky sits

The same service costs 31.6 times more in Alaska than in Georgia. 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.

Kentucky· 37th of 51

$14.13

AK $100GA $3.16

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.