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Opiate Drugs And Their Breakdown Products

South Carolina 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?

$30.20

Typical facility fee. In South Carolina, July 2026.

Insurers have agreed to pay about $30.20 for this service. Most negotiated rates run $18.62 to $36.31.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 $30 · 10th to 90th $12 to $44Professionalmedian $30 · 10th to 90th $30 to $38
$20$50$100facility $30professional $30

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
$30.90
Median
$30.90
Typical High
$38.02
Medcost
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$29.51
Typical High
$43.65
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20

Where South Carolina 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.

South Carolina· 41st of 50

$30.20

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.