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Gabapentin Blood Level Test

Pennsylvania rates for HCPCS 80171

This blood test measures the amount of gabapentin, a medication commonly used for nerve pain and seizures, present in the bloodstream. It helps confirm that a person is taking the medication as prescribed and can guide dose adjustments.

Rates data updated July 2026.

How much does Gabapentin Blood Level Test cost?

$20.42

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $20.42 for this service. The price depends on where it is billed: about $17.38 from a physician practice, and about $43.65 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$16.98 to $20.42
FacilityA hospital or hospital-owned outpatient department$43.65$25.70 to $64.57

How much rates vary

Facilitymedian $44 · 10th to 90th $19 to $98Professionalmedian $17 · 10th to 90th $12 to $33
$10$20$50$100$200facility $44professional $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
$18.62
Median
$43.65
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$17.38
Typical High
$51.29
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$89.13
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$16.98
Typical High
$16.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$33.11
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$20.89
Typical High
$32.36
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$12.88
Typical High
$31.62
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$21.88
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$19.50
Typical High
$38.02
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$50.12
Typical High
$100.00
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$16.22
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$42.66
Typical High
$95.50
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$17.38
Typical High
$64.57
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$79.43
Typical High
$162.18
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$21.88
Typical High
$21.88
United
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$21.88
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$12.88
Typical High
$30.20

Where Pennsylvania sits

The same service costs 3.7 times more in Alaska 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.

Pennsylvania· 29th of 51

$20.42

AK $48.98CT $13.18

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.