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Fingerstick Blood Panel For Medication Classes

Massachusetts 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?

$200

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $347 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 7 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$200$123 to $200
FacilityA hospital or hospital-owned outpatient department$347$200 to $589

How much rates vary

Facilitymedian $347 · 10th to 90th $115 to $646Professionalmedian $200 · 10th to 90th $91 to $331
$100$200$500$1K$2K$5Kfacility $347professional $200

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
$114.82
Median
$346.74
Typical High
$588.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$114.82
Typical High
$123.03
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$100.00
Typical High
$1,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$123.03
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$239.88
Typical High
$288.40
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$4,897.79
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$338.84
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$371.54
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$100.00
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$165.96
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$199.53
Typical High
$398.11

Where Massachusetts 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.

Massachusetts· 17th of 51

$200

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.