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Oral Cancer Medication Level Monitoring

Ohio 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?

$38.90

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $38.90 for this service. The price depends on where it is billed: about $45.71 from a physician practice, and about $33.11 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 8 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$45.71$21.88 to $53.70
FacilityA hospital or hospital-owned outpatient department$33.11$26.92 to $51.29

How much rates vary

Facilitymedian $33 · 10th to 90th $23 to $65Professionalmedian $46 · 10th to 90th $20 to $65
$20$50$100facility $33professional $46

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
$25.70
Median
$46.77
Typical High
$64.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$58.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$28.84
Typical High
$50.12
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$45.71
Typical High
$69.18
CareSource
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$30.90
CareSource
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$426.58
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$33.88
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$35.48
Typical High
$131.83
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$35.48
Typical High
$112.20
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$17.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$18.62
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$28.18
Typical High
$53.70
United
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$26.92
Typical High
$40.74
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$16.22
Typical High
$28.84

Where Ohio 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.

Ohio· 5th of 51

$38.90

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.