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Laboratory Test Measuring A Specific Medication Level

Georgia rates for HCPCS 80168

This laboratory test measures how much of a specific prescribed medication is present in a blood sample, used to help confirm that a patient's dose is producing a safe, effective level rather than too little or too much. It's generally ordered for medications where individual differences in how the body processes the drug make routine level checks worthwhile. Results are used together with the patient's symptoms and dose history to guide any adjustments.

Rates data updated July 2026.

How much does Laboratory Test Measuring A Specific Medication Level cost?

$15.49

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $15.49 for this service. The price depends on where it is billed: about $13.49 from a physician practice, and about $21.88 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 6 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$13.49$10.96 to $18.20
FacilityA hospital or hospital-owned outpatient department$21.88$16.98 to $29.51

How much rates vary

Facilitymedian $22 · 10th to 90th $13 to $41Professionalmedian $13 · 10th to 90th $8 to $34
$10$20$50facility $22professional $13

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
$13.18
Median
$29.51
Typical High
$42.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$13.80
Typical High
$38.02
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$21.88
Typical High
$29.51
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$12.02
Typical High
$33.11
CareSource
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$8.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$32.36
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$11.48
Typical High
$34.67
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$23.44
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$14.79
Typical High
$19.95
United
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$9.77
Typical High
$22.91

Where Georgia 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.

Georgia· 36th of 51

$15.49

SD $31.62DC $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.