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Oral Cancer Medication Level Monitoring

Connecticut rates for HCPCS 0110U

Measures how much of a prescribed oral cancer medicine is present in a patient's blood, so the amount can be compared with the range the drug is expected to sit at during steady treatment. One or more drugs are measured by mass spectrometry in a serum or plasma sample.

Rates data updated July 2026.

How much does Oral Cancer Medication Level Monitoring cost?

$19.05

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $19.05 for this service. The price depends on where it is billed: about $17.78 from a physician practice, and about $42.66 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$17.78$17.78 to $19.95
FacilityA hospital or hospital-owned outpatient department$42.66$26.92 to $61.66

How much rates vary

Facilitymedian $43 · 10th to 90th $27 to $81Professionalmedian $18 · 10th to 90th $15 to $46
$20$50$100$200facility $43professional $18

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
$26.92
Median
$38.90
Typical High
$81.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$17.78
Typical High
$21.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$44.67
Typical High
$72.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$45.71
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$43.65
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$38.90
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$15.85
United
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
United
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$17.78
Typical High
$47.86

Where Connecticut sits

The same service costs 2.5 times more in Wisconsin than in Nebraska. 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.

Connecticut· 49th of 51

$19.05

WI $44.67NE $17.78

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.