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Oral Cancer Medication Level Monitoring

Kentucky 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?

$26.92

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $26.92 for this service. The price depends on where it is billed: about $26.92 from a physician practice, and about $26.92 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$26.92$21.88 to $45.71
FacilityA hospital or hospital-owned outpatient department$26.92$22.39 to $39.81

How much rates vary

Facilitymedian $27 · 10th to 90th $22 to $65Professionalmedian $27 · 10th to 90th $21 to $46
$10$100$1K$10Kfacility $27professional $27

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
$22.39
Typical High
$64.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$22.39
Typical High
$26.92
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$26.92
Typical High
$28.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$45.71
Typical High
$45.71
CareSource
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$489.78
Typical High
$46,773.51
CareSource
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$36.31
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$39.81
Typical High
$57.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$131.83
Typical High
$131.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$26.92
Typical High
$32.36
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$16.22
Typical High
$26.92

Where Kentucky 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.

Kentucky· 24th of 51

$26.92

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.