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Fingerstick Blood Panel For Medication Classes

New Jersey 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?

$158

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $158 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $282 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 5 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$123$91.20 to $141
FacilityA hospital or hospital-owned outpatient department$282$219 to $933

How much rates vary

Facilitymedian $282 · 10th to 90th $148 to $1,660Professionalmedian $123 · 10th to 90th $87 to $204
$100$500$2K$10Kfacility $282professional $123

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
$218.78
Median
$263.03
Typical High
$1,230.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$123.03
Typical High
$218.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$331.13
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$288.40
Typical High
$371.54
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$144.54
Typical High
$151.36
United
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$147.91
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$89.13
Typical High
$173.78

Where New Jersey 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.

New Jersey· 31st of 51

$158

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.