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Definitive Test For A Substance Without Its Own Test

South 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?

$11.48

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $11.48 for this service. The price depends on where it is billed: about $13.80 from a physician practice, and about $0.06 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$13.80$10.96 to $23.99
FacilityA hospital or hospital-owned outpatient department$0.06$0.06 to $0.06

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $13Professionalmedian $14 · 10th to 90th $10 to $30
$0.1$1$10facility $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
$0.05
Median
$0.06
Typical High
$0.06
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$11.22
Typical High
$24.55
Medcost
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$23.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$13.18
Typical High
$23.99
United
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$13.18
Typical High
$26.30

Where South Carolina sits

The same service costs 2691.5 times more in Alaska than in Pennsylvania. 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.

South Carolina· 34th of 51

$11.48

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.