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Definitive Test For A Substance Without Its Own Test

Ohio 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?

$3.47

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $3.47 for this service. The price depends on where it is billed: about $4.37 from a physician practice, and about $0.02 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 9 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$4.37$3.16 to $10.00
FacilityA hospital or hospital-owned outpatient department$0.02$0.02 to $0.03

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $0Professionalmedian $4 · 10th to 90th $3 to $14
$0.1$1.0$10.0$100.0facility $0professional $4

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.04
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$5.89
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$4.07
Typical High
$14.13
CareSource
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.35
Median
$4.17
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$11.48
Typical High
$45.71
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$0.35
Median
$1.51
Typical High
$7.41
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$45.71
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$14.45
Typical High
$23.99
United
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$13.18
Typical High
$25.70

Where Ohio 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.

Ohio $3.47 · 46th 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.