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Laboratory Test For A Specific Substance

Texas rates for HCPCS 82651

A laboratory measurement of one particular substance in a sample taken from the body. A test like this is ordered when the amount of that specific substance is needed to help reach a diagnosis or to guide treatment.

Rates data updated July 2026.

How much does Laboratory Test For A Specific Substance cost?

$38.02

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $38.02 for this service. The price depends on where it is billed: about $40.74 from a physician practice, and about $32.36 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 4 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$40.74$38.90 to $50.12
FacilityA hospital or hospital-owned outpatient department$32.36$22.39 to $123

How much rates vary

Facilitymedian $32 · 10th to 90th $22 to $123Professionalmedian $41 · 10th to 90th $39 to $50
$20$50$100facility $32professional $41

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
Cigna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$40.74
Typical High
$50.12
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$25.12
Typical High
$52.48
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
Providence
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$25.12
Typical High
$52.48
Providence
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$38.90

Where Texas sits

The same service costs 5.5 times more in Tennessee than in Alaska. 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.

Texas· 40th of 50

$38.02

TN $123AK $22.39

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.