go back

Fingerstick Blood Panel For Medication Classes

Kentucky rates for HCPCS 0054U

Measures medications and drugs in a small blood sample to check what someone has been taking. At least 14 classes of drug are covered — the count is of drug classes, not of individual drugs, so each class may take in several substances — and each is measured by mass spectrometry. The sample is a fingerstick capillary collection rather than a full draw from a vein.

Rates data updated July 2026.

How much does Fingerstick Blood Panel For Medication Classes cost?

$112

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $112 for this service. The price depends on where it is billed: about $85.11 from a physician practice, and about $209 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 6 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$85.11$85.11 to $158
FacilityA hospital or hospital-owned outpatient department$209$123 to $479

How much rates vary

Facilitymedian $209 · 10th to 90th $123 to $3,020Professionalmedian $85 · 10th to 90th $72 to $257
$100$1K$10Kfacility $209professional $85

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$478.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$158.49
Typical High
$269.15
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$199.53
Typical High
$208.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$85.11
Typical High
$85.11
CareSource
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$2,951.21
Typical High
$41,686.94
CareSource
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$275.42
Typical High
$3,715.35
Cigna
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$288.40
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Molina
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$100.00
Typical High
$165.96

Where Kentucky sits

The same service costs 3.8 times more in South Dakota 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.

Kentucky· 49th of 51

$112

SD $380GA $100

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.