go back

Definitive Test For A Substance Without Its Own Test

Utah 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?

$52.48

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $52.48 for this service. The price depends on where it is billed: about $28.18 from a physician practice, and about $214 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 6 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$28.18$22.91 to $30.90
FacilityA hospital or hospital-owned outpatient department$214$0.07 to $219

How much rates vary

Facilitymedian $214 · 10th to 90th $0 to $240Professionalmedian $28 · 10th to 90th $10 to $52
$0.1$1$10$100facility $214professional $28

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
$0.05
Median
$213.80
Typical High
$239.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.05
Median
$52.48
Typical High
$120.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.70
Median
$1.70
Typical High
$1.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$11.48
Typical High
$37.15
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$28.18
Typical High
$43.65
Select Health
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$28.18
Typical High
$30.90
United
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$15.49
United
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$10.23
Typical High
$25.70

Where Utah 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.

Utah· 4th of 51

$52.48

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.