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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 July 2026.

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

$14.13

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $14.13 for this service. The price depends on where it is billed: about $14.13 from a physician practice, and about $0.03 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 6 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$14.13$12.59 to $14.13
FacilityA hospital or hospital-owned outpatient department$0.03$0.03 to $50.12

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $50Professionalmedian $14 · 10th to 90th $3 to $18
$0.1$1.0$10.0$100.0$1.0K$10.0Kfacility $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. 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
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
$3.16
Median
$14.13
Typical High
$14.13
CareSource
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$29.51
CareSource
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$25.70
Typical High
$42,657.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$114.82
Typical High
$114.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$44.67
United
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$23.99
United
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$13.18
Typical High
$25.70

Where Kentucky 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.

Kentucky $14.13 · 26th 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.