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Laboratory Test For A Specific Substance

Texas rates for HCPCS 82654

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?

$20.42

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $20.42 for this service. The price depends on where it is billed: about $21.88 from a physician practice, and about $17.38 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 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$21.88$20.89 to $27.54
FacilityA hospital or hospital-owned outpatient department$17.38$12.30 to $89.13

How much rates vary

Facilitymedian $17 · 10th to 90th $12 to $100Professionalmedian $22 · 10th to 90th $21 to $28
$10.0$20.0$50.0$100.0facility $17professional $22

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
$19.05
Median
$21.88
Typical High
$27.54
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$100.00
Typical High
$100.00
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$13.49
Typical High
$28.18
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
Providence
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$13.49
Typical High
$28.18
Providence
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$20.89

Where Texas sits

The same service costs 8.1 times more in Massachusetts than in Alaska. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Texas $20.42 · 43rd of 50
MA $100AK $12.30

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.