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Opiate Drugs And Their Breakdown Products

Illinois rates for HCPCS 83925

A laboratory test that looks for opiate drugs and the substances the body breaks them down into. It is used to check whether a prescribed opioid is being taken as directed and to help sort out unexplained symptoms or a suspected overdose.

Rates data updated July 2026.

How much does Opiate Drugs And Their Breakdown Products cost?

$54.95

Typical facility fee. In Illinois, July 2026.

Insurers have agreed to pay about $54.95 for this service. Most negotiated rates run $38.90 to $100.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $52 · 10th to 90th $36 to $107Professionalmedian $126 · 10th to 90th $31 to $347
$20$50$100$200facility $52professional $126

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
BCBS
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$52.48
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$38.90
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$199.53
Typical High
$346.74
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00

Where Illinois sits

The same service costs 9.3 times more in Tennessee than in Kansas. 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.

Illinois· 3rd of 50

$54.95

TN $158KS $16.98

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.