go back

Fingerstick Blood Panel For Medication Classes

Ohio 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?

$214

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $214 for this service. The price depends on where it is billed: about $214 from a physician practice, and about $263 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 8 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$214$158 to $275
FacilityA hospital or hospital-owned outpatient department$263$200 to $380

How much rates vary

Facilitymedian $263 · 10th to 90th $178 to $479Professionalmedian $214 · 10th to 90th $87 to $389
$50$100$200$500facility $263professional $214

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
$186.21
Median
$338.84
Typical High
$478.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$158.49
Typical High
$380.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$208.93
Typical High
$363.08
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$234.42
Typical High
$398.11
CareSource
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$2,754.23
Typical High
$41,686.94
CareSource
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$3,090.30
Typical High
$5,495.41
Cigna
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$263.03
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$218.78
Typical High
$954.99
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$263.03
Typical High
$954.99
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Molina
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$223.87
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$199.53
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$89.13
Typical High
$218.78

Where Ohio 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.

Ohio· 8th of 51

$214

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.