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Oral Cancer Medication Level Monitoring

Georgia 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?

$24.55

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $24.55 for this service. The price depends on where it is billed: about $21.88 from a physician practice, and about $36.31 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 6 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$21.88$18.20 to $25.70
FacilityA hospital or hospital-owned outpatient department$36.31$26.92 to $50.12

How much rates vary

Facilitymedian $36 · 10th to 90th $22 to $95Professionalmedian $22 · 10th to 90th $16 to $46
$20$50$100facility $36professional $22

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
$18.20
Median
$24.55
Typical High
$75.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$21.38
Typical High
$25.70
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$36.31
Typical High
$100.00
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$45.71
Typical High
$45.71
CareSource
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$60.26
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$33.11
Typical High
$41.69
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$30.90
Typical High
$35.48
United
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$24.55
Typical High
$26.92
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$16.22
Typical High
$26.92

Where Georgia 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.

Georgia· 31st of 51

$24.55

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.