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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 October 2026.

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

$13.49

Typical negotiated rate. In North Carolina, October 2026.

Insurers have agreed to pay about $13.49 for this service. The price depends on where it is billed: about $12.02 from a physician practice, and about $23.44 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 5 insurance carriers under federal price transparency rules.

Prices by location type

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$23.44$23.44 to $30.90

How much rates vary

Facilitymedian $23 · 10th to 90th $23 to $38Professionalmedian $12 · 10th to 90th $10 to $26
$10$20$50facility $23professional $12

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
$38.02
Median
$38.02
Typical High
$38.02
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
BCBS North Carolina
Setting
Facility
Modifier
None
Typical Low
$23.44
Median
$23.44
Typical High
$30.90
BCBS North Carolina
Setting
Professional
Modifier
26 · Professional part
Typical Low
$14.45
Median
$19.05
Typical High
$19.05
Cigna
Setting
Facility
Modifier
None
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$11.22
Median
$16.60
Typical High
$32.36
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$5.01
Median
$5.01
Typical High
$5.01
Medcost
Setting
Facility
Modifier
None
Typical Low
$22.91
Median
$22.91
Typical High
$23.44
Medcost
Setting
Professional
Modifier
None (both parts)
Typical Low
$22.91
Median
$22.91
Typical High
$48.98
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$9.33
Median
$11.75
Typical High
$23.44

Where North Carolina 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.

North Carolina· 39th of 51

$13.49

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.