go back

Opiate Drugs And Their Breakdown Products

Texas 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?

$28.84

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $28.84 for this service. The price depends on where it is billed: about $30.90 from a physician practice, and about $24.55 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$30.90$29.51 to $38.02
FacilityA hospital or hospital-owned outpatient department$24.55$16.98 to $158

How much rates vary

Facilitymedian $25 · 10th to 90th $17 to $158Professionalmedian $31 · 10th to 90th $30 to $38
$20.0$50.0$100.0facility $25professional $31

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
$26.92
Median
$30.90
Typical High
$38.02
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$158.49
Typical High
$158.49
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$19.05
Typical High
$39.81
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$29.51
Providence
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$19.05
Typical High
$39.81
Providence
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$29.51

Where Texas sits

The same service costs 9.3 times more in Tennessee than in Kansas. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Texas $28.84 · 42nd of 50
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.