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Fingerstick Blood Panel For Medication Classes

Pennsylvania 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?

$148

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $148 for this service. The price depends on where it is billed: about $100 from a physician practice, and about $316 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$100$91.20 to $155
FacilityA hospital or hospital-owned outpatient department$316$229 to $501

How much rates vary

Facilitymedian $316 · 10th to 90th $191 to $525Professionalmedian $100 · 10th to 90th $87 to $229
$100$200$500$1K$2K$5Kfacility $316professional $100

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
$229.09
Median
$316.23
Typical High
$524.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$100.00
Typical High
$141.25
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$251.19
Typical High
$512.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$281.84
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$218.78
Typical High
$346.74
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$316.23
Typical High
$524.81
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$109.65
Typical High
$501.19
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$181.97
Typical High
$489.78
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$181.97
United
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$199.53
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$89.13
Typical High
$218.78

Where Pennsylvania 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.

Pennsylvania· 35th of 51

$148

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.