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Definitive Test For A Substance Without Its Own Test

North Carolina 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?

$14.45

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $14.45 for this service. The price depends on where it is billed: about $12.02 from a physician practice, and about $29.51 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$12.02$11.22 to $22.39
FacilityA hospital or hospital-owned outpatient department$29.51$15.14 to $151

How much rates vary

Facilitymedian $30 · 10th to 90th $9 to $151Professionalmedian $12 · 10th to 90th $10 to $32
$0.1$1.0$10.0$100.0facility $30professional $12

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
$38.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$8.32
BCBS
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$18.20
Typical High
$24.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$11.48
Typical High
$32.36
Medcost
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$23.44
Typical High
$23.44
Medcost
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$48.98
Typical High
$48.98
United
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$23.99
Typical High
$30.20
United
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$12.02
Typical High
$25.12
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36

Where North Carolina 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.

North Carolina $14.45 · 19th 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.