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Oral Cancer Medication Level Monitoring

New York 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?

$28.18

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $28.18 for this service. The price depends on where it is billed: about $21.88 from a physician practice, and about $46.77 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 9 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$14.79 to $45.71
FacilityA hospital or hospital-owned outpatient department$46.77$26.92 to $64.57

How much rates vary

Facilitymedian $47 · 10th to 90th $22 to $74Professionalmedian $22 · 10th to 90th $15 to $46
$20$50$100facility $47professional $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
$21.88
Median
$48.98
Typical High
$74.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$22.91
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$70.79
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$45.71
Typical High
$69.18
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$26.92
Typical High
$26.92
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$57.54
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$131.83
Typical High
$131.83
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$44.67
Typical High
$104.71
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$16.22
Typical High
$52.48
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$25.70
Typical High
$29.51
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$51.29
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$26.92
Typical High
$56.23
United
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$26.92
Typical High
$33.88
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$16.22
Typical High
$38.90
Univera
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$26.92
Typical High
$30.90
Univera
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$26.92
Typical High
$30.90

Where New York 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.

New York· 17th of 51

$28.18

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.