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Felbamate Drug Level

Illinois rates for HCPCS 80167

Measures how much felbamate, a medicine used to control difficult epilepsy, is present in a blood sample. The level is checked to confirm the dose is in a useful range, particularly when seizures continue or when other medicines that interact with it are started or stopped.

Rates data updated July 2026.

How much does Felbamate Drug Level cost?

$16.22

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $16.22 for this service. The price depends on where it is billed: about $14.45 from a physician practice, and about $29.51 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 5 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$14.45$12.30 to $18.62
FacilityA hospital or hospital-owned outpatient department$29.51$19.05 to $38.02

How much rates vary

Facilitymedian $30 · 10th to 90th $15 to $51Professionalmedian $14 · 10th to 90th $3 to $37
$5$10$20$50$100$200facility $30professional $14

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
$15.14
Median
$29.51
Typical High
$46.77
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$15.85
Typical High
$38.02
BCBS
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$30.20
Typical High
$239.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$12.88
Typical High
$14.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$40.74
Typical High
$87.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$20.42
Typical High
$28.18
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$47.86
Typical High
$199.53
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
United
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$18.62
Typical High
$37.15
United
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$11.22
Typical High
$18.62

Where Illinois sits

The same service costs 2.3 times more in North Dakota than in Connecticut. 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.

Illinois· 34th of 51

$16.22

ND $28.18CT $12.30

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.