Lab test

Cocaine Metabolite Screen and Confirmation, Urine

This urine test screens for cocaine and confirms any presumptive positive result.

Typical price

From $45

Results

1-3 business days

Preparation

See preparation notes below

Sample

Blood draw or sample collection at a local center

This urine test screens for cocaine and confirms any presumptive positive result. It detects cocaine metabolites, primarily benzoylecgonine, using an initial immunoassay followed by a specific confirmation method. Urine is well suited to cocaine screening because benzoylecgonine remains detectable in urine for longer than it does in blood, allowing a somewhat wider window after use. Pairing the screen with confirmation helps separate a true cocaine metabolite finding from an unrelated cross-reaction.

• Cocaine metabolite (screen) Benzoylecgonine and related cocaine metabolites detected by immunoassay in urine.
• Cocaine metabolite confirmation A specific analysis used to verify and quantify a presumptive positive cocaine screen.

• A clinician wants to evaluate possible cocaine use with a verified result.
• You are in a workplace, legal, or monitoring program requiring urine testing.
• A screening result needs confirmation before it is reported.
• Cocaine exposure is part of a broader substance-use assessment.

• No fasting is required for this urine test.
• Provide a fresh sample at the collection site.
• Disclose all medications, including any local anesthetics from recent procedures.
• Avoid excessive fluid intake immediately before collection to prevent dilution.

A negative result suggests cocaine metabolites were not detected above the cutoff. A positive screen is presumptive and is verified by the confirmation step, which identifies benzoylecgonine specifically. Detection in urine can persist for a few days after use, varying with amount and individual metabolism. Because results may carry consequences, review the confirmed finding with a healthcare provider.

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