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Oral Cancer Medication Level Monitoring

Illinois 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?

$29.51

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $29.51 for this service. The price depends on where it is billed: about $22.39 from a physician practice, and about $40.74 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$22.39$20.89 to $32.36
FacilityA hospital or hospital-owned outpatient department$40.74$27.54 to $53.70

How much rates vary

Facilitymedian $41 · 10th to 90th $22 to $59Professionalmedian $22 · 10th to 90th $16 to $55
$20$50$100$200facility $41professional $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
$22.39
Median
$40.74
Typical High
$57.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$22.39
Typical High
$54.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$36.31
Typical High
$44.67
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$52.48
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$33.11
Typical High
$41.69
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$38.02
Typical High
$151.36
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$26.92
Typical High
$53.70
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$14.79
Typical High
$26.92

Where Illinois 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.

Illinois· 15th of 51

$29.51

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.