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Definitive Test For A Substance Without Its Own Test

Virginia 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?

$7.08

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $7.08 for this service. The price depends on where it is billed: about $5.37 from a physician practice, and about $21.38 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 7 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$5.37$3.16 to $16.60
FacilityA hospital or hospital-owned outpatient department$21.38$0.03 to $32.36

How much rates vary

Facilitymedian $21 · 10th to 90th $0 to $10,000Professionalmedian $5 · 10th to 90th $3 to $32
$0.1$1.0$10.0$100.0$1.0K$10.0Kfacility $21professional $5

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
$0.03
Median
$0.03
Typical High
$0.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.03
Median
$0.03
Typical High
$0.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$3.16
Typical High
$14.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$46.77
Typical High
$69.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$14.45
Typical High
$35.48
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$33.88
Typical High
$35.48
Medcost
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$24.55
Typical High
$32.36
Medcost
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$5.25
Typical High
$19.50
Sentara
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$28.18
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$28.18
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$14.79
Typical High
$29.51
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$13.18
Typical High
$23.99

Where Virginia 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.

Virginia $7.08 · 43rd 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.