go back

Oral Cancer Medication Level Monitoring

Pennsylvania 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?

$22.91

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $22.91 for this service. The price depends on where it is billed: about $21.88 from a physician practice, and about $52.48 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$21.88$21.38 to $22.91
FacilityA hospital or hospital-owned outpatient department$52.48$33.11 to $67.61

How much rates vary

Facilitymedian $52 · 10th to 90th $23 to $95Professionalmedian $22 · 10th to 90th $16 to $27
$20$50$100facility $52professional $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
$22.91
Median
$52.48
Typical High
$95.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$21.88
Typical High
$25.70
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$21.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$41.69
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$38.90
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$15.85
Typical High
$38.90
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$25.12
Typical High
$46.77
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$57.54
Typical High
$95.50
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$21.88
Typical High
$79.43
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$29.51
Typical High
$67.61
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$29.51
Typical High
$29.51
United
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$26.92
Typical High
$32.36
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$16.22
Typical High
$40.74

Where Pennsylvania 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.

Pennsylvania· 34th of 51

$22.91

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.