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Definitive Test For A Substance Without Its Own Test

Washington 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?

$20.42

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $20.42 for this service. The price depends on where it is billed: about $15.49 from a physician practice, and about $47.86 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$15.49$7.59 to $33.11
FacilityA hospital or hospital-owned outpatient department$47.86$7.59 to $47.86

How much rates vary

Facilitymedian $48 · 10th to 90th $0 to $48Professionalmedian $15 · 10th to 90th $8 to $52
$0.1$1$10facility $48professional $15

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
$0.02
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$29.51
Typical High
$46.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$25.12
Typical High
$33.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$50.12
Typical High
$64.57
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$47.86
Typical High
$47.86
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$47.86
Typical High
$47.86
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$7.59
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$60.26
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$32.36
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$22.39
Typical High
$43.65
United
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$15.49
Typical High
$23.99
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.23
Typical High
$25.70
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$16.60

Where Washington 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.

Washington· 13th of 51

$20.42

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.