How much does a Cotinine Test cost in 2026?
A Nicotine/Cotinine Test costs $55.99 at TestWell — $61.99 all-in, since the $6 lab processing fee is charged once per order and there is no draw or physician fee. The labs' own sites list the same test at $142.00 at Quest Health (checked Oct 10, 2026). Hospital outpatient labs typically bill around $180.00 self-pay. With insurance you pay your plan's negotiated rate against your deductible; TestWell's price is fixed before the draw and HSA/FSA-eligible.
Cotinine Test price comparison
| Where you order | Price | One test, all-in | Notes |
|---|---|---|---|
| TestWell (drawn at Labcorp) | $55.99 | $61.99 | Includes the one $6 lab processing fee, charged once per order |
| Quest Health (Quest Diagnostics' own site) | $142.00 | $142.00 | list price checked Oct 10, 2026 |
| Hospital outpatient lab, self-pay (typical) | $180.00 | $180.00 | Reference figure; hospital charges vary widely by facility and are often higher |
56% less than the lower lab-direct list price, for the same draw at the same lab. Lab test codes: Labcorp test no. 737919. Competitor prices are read from the linked public pages and re-checked regularly; the labs' sites may add taxes or change prices without notice.
What the $55.99 includes
- Authorization of the order by a licensed physician in TestWell's network — no office visit or referral.
- The lab requisition, emailed within minutes, accepted at any Labcorp patient service center.
- The blood draw and the lab work itself.
- Results in your TestWell portal in 1–3 business days, with reference ranges and the option to share them with your clinician.
- One $6 lab processing fee per order — charged once, not per test, so a Cotinine Test alone is $61.99 and adding tests to the same order adds only their sticker prices.
Why Cotinine Test prices vary so much
The same Cotinine Test, run on the same analyzer, can be billed at four different prices. Ordered through a hospital or clinic and billed to insurance, the charge is set by the facility's chargemaster and your plan's negotiated rate, then filtered through your deductible — the typical self-pay hospital figure is in the table above. Ordered from the lab's own consumer site, you pay the lab's retail list price. Ordered through a direct-to-consumer service like TestWell, you pay a negotiated volume rate plus the service's margin and fee.
When you compare services, add the fees before you compare: some list a low sticker price and add a draw fee and a physician fee at checkout, typically $18–$28 per order. TestWell's only addition is the $6 processing fee, once per order.
How to order a Cotinine Test for $55.99
- Add the Cotinine Test to your cart and check out — a physician authorizes the order, usually within minutes.
- Walk into any Labcorp location with the emailed requisition; no appointment needed at most locations.
- Results post to your portal in 1–3 business days.
Frequently asked questions
- How much does a Cotinine Test cost without insurance?
- A Nicotine/Cotinine Test costs $55.99 at TestWell — $61.99 all-in, since the $6 lab processing fee is charged once per order and there is no draw or physician fee. The labs' own sites list the same test at $142.00 at Quest Health (checked Oct 10, 2026). Hospital outpatient labs typically bill around $180.00 self-pay. With insurance you pay your plan's negotiated rate against your deductible; TestWell's price is fixed before the draw and HSA/FSA-eligible.
- Is a Cotinine Test cheaper at Quest or Labcorp?
- TestWell's price is $55.99 regardless of which lab draws it (Labcorp). Quest Health lists it at $142.00. The sample is processed by the same CLIA-certified lab either way.
- Does the $55.99 include the doctor's order and the lab visit?
- Yes. The price includes authorization by a licensed physician in TestWell's network, the lab requisition, the blood draw at a Labcorp patient service center, and results in your portal in 1–3 business days. The only addition is one $6 lab processing fee per order — not per test — so adding tests to the same order does not add fees. Some online lab services list a low sticker price and then add a draw fee and a physician fee at checkout, typically $18–$28 per order; compare all-in totals, not stickers.
- Can I pay for a Cotinine Test with an HSA or FSA card?
- Yes — lab tests are an eligible medical expense, and TestWell accepts HSA and FSA cards at checkout. Your receipt lists the test for reimbursement or plan records.
- Do I need to fast for a Cotinine Test?
- No fasting is required for the Cotinine Test. No fasting required. Avoid nicotine replacement products (patches, gum, lozenges) if testing for tobacco use specifically.