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Blood Test Measuring A Prescribed Medication Level

South Dakota rates for HCPCS 80159

This laboratory test measures the amount of a specific prescribed medication in the blood, helping confirm the dose is within a safe and effective range. It's typically ordered periodically for medications that need close monitoring because the right dose varies between people and too little or too much can cause serious problems. It requires only a standard blood draw, often timed relative to the most recent dose.

Rates data updated July 2026.

How much does Blood Test Measuring A Prescribed Medication Level cost?

$38.90

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $38.90 for this service. The price depends on where it is billed: about $38.90 from a physician practice, and about $38.90 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 7 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$38.90$19.05 to $54.95
FacilityA hospital or hospital-owned outpatient department$38.90$30.20 to $38.90

How much rates vary

Facilitymedian $39 · 10th to 90th $23 to $39Professionalmedian $39 · 10th to 90th $13 to $100
$10$20$50$100facility $39professional $39

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
$14.13
Median
$22.91
Typical High
$22.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$19.05
Typical High
$100.00
Avera
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$38.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$38.90
Typical High
$47.86
Medica
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$24.55
Typical High
$95.50
Medica
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.88
Typical High
$25.12
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$48.98
Typical High
$54.95
United
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
United
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$12.88
Typical High
$26.30
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95

Where South Dakota sits

The same service costs 2.6 times more in South Dakota than in Washington, DC. 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.

South Dakota· 1st of 51

$38.90

SD $38.90DC $15.14

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.