Definitive Drug Test, 1-7 Drug Classes

Rhode Island rates for HCPCS G0480

Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to, GC/MS (any type, single or tandem) and LC/MS (any type, single or tandem and excluding immunoassays (e.g., IA, EIA, ELISA, EMIT, FPIA) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed

Rates data updated October 2026.

How much does Definitive Drug Test, 1-7 Drug Classes cost?

$79.43

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $79.43 for this service. The price depends on where it is billed: about $64.57 from a physician practice, and about $132 from a hospital or other facility.

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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$64.57	$58.88 to $85.11
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$132	$117 to $138

How much rates vary

Facilitymedian $132 · 10th to 90th $79 to $204Professionalmedian $65 · 10th to 90th $48 to $151

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Professional Modifier None Typical Low $57.54 Median $58.88 Typical High $79.43	Professional	None	$57.54	$58.88	$79.43
BCBS Rhode Island Setting Facility Modifier None Typical Low $72.44 Median $120.23 Typical High $138.04	Facility	None	$72.44	$120.23	$138.04
BCBS Rhode Island Setting Professional Modifier None Typical Low $60.26 Median $85.11 Typical High $85.11	Professional	None	$60.26	$85.11	$85.11
Cigna Setting Facility Modifier None Typical Low $204.17 Median $316.23 Typical High $363.08	Facility	None	$204.17	$316.23	$363.08
Cigna Setting Professional Modifier None Typical Low $38.02 Median $60.26 Typical High $147.91	Professional	None	$38.02	$60.26	$147.91
United Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04	Facility	None	$138.04	$138.04	$138.04
United Setting Professional Modifier None Typical Low $39.81 Median $69.18 Typical High $190.55	Professional	None	$39.81	$69.18	$190.55

Where Rhode Island sits

The same service costs 4.9 times more in Alaska than in Georgia. 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.

Rhode Island· 39th of 51

$79.43

AK $224GA $45.71

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.