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Definitive Test For A Substance Without Its Own Test

New Mexico 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?

$10.23

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $10.23 for this service. The price depends on where it is billed: about $10.23 from a physician practice, and about $9.12 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 5 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$10.23$9.55 to $10.72
FacilityA hospital or hospital-owned outpatient department$9.12$0.03 to $56,234

How much rates vary

Facilitymedian $9 · 10th to 90th $0 to $81,283Professionalmedian $10 · 10th to 90th $3 to $16
$0.1$1.0$10.0$100.0$1.0K$10.0K$100.0Kfacility $9professional $10

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
BCBS
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$69,183.10
Typical High
$81,283.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$3.98
Typical High
$3.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$10.72
Typical High
$21.88
Providence
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$17.38
Providence
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$21.88
United
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$14.79
Typical High
$29.51
United
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$10.23
Typical High
$16.22

Where New Mexico 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.

New Mexico $10.23 · 38th 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.