go back

Felbamate Drug Level

Washington 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?

$18.62

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $18.62 for this service. The price depends on where it is billed: about $17.38 from a physician practice, and about $28.18 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$17.38$16.60 to $19.95
FacilityA hospital or hospital-owned outpatient department$28.18$18.62 to $42.66

How much rates vary

Facilitymedian $28 · 10th to 90th $19 to $83Professionalmedian $17 · 10th to 90th $9 to $30
$10.0$20.0$50.0$100.0facility $28professional $17

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
$17.38
Median
$40.74
Typical High
$102.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$18.20
Typical High
$123.03
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$23.44
Typical High
$51.29
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$16.60
Typical High
$18.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$30.20
Typical High
$46.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$19.95
Typical High
$26.92
Molina
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$20.89
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$29.51
Typical High
$51.29
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$22.39
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$28.18
Typical High
$50.12
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$16.60
Typical High
$18.62
United
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$22.39
Typical High
$22.39
United
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$18.62
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$9.55
Typical High
$33.88

Where Washington sits

The same service costs 2.3 times more in North Dakota than in Connecticut. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Washington $18.62 · 18th of 51
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.