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Fingerstick Blood Panel For Medication Classes

New York 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?

$132

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $132 for this service. The price depends on where it is billed: about $91.20 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 9 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$91.20$45.71 to $138
FacilityA hospital or hospital-owned outpatient department$347$200 to $457

How much rates vary

Facilitymedian $347 · 10th to 90th $138 to $550Professionalmedian $91 · 10th to 90th $46 to $224
$50$100$200$500facility $347professional $91

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
$134.90
Median
$354.81
Typical High
$549.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$100.00
Typical High
$158.49
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$512.86
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$218.78
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$147.91
Typical High
$147.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$316.23
Typical High
$389.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$954.99
Typical High
$954.99
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$331.13
Typical High
$758.58
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$263.03
Typical High
$380.19
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$165.96
Typical High
$263.03
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$371.54
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$199.53
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$177.83
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$89.13
Typical High
$223.87
Univera
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$147.91
Typical High
$169.82
Univera
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$154.88
Typical High
$354.81

Where New York 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 York· 41st of 51

$132

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.