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Blood Level Of A Prescribed Medicine

Texas rates for HCPCS 80174

A laboratory measurement of how much of one specific medicine is present in a sample. Levels like this are checked for medicines that have to stay within a narrow range to work safely, since too little does not help and too much becomes toxic, and the result guides dose adjustments.

Rates data updated October 2026.

How much does Blood Level Of A Prescribed Medicine cost?

$21.88

Typical negotiated rate. In Texas, October 2026.

Insurers have agreed to pay about $21.88 for this service. The price depends on where it is billed: about $27.54 from a physician practice, and about $21.88 from a hospital or other facility.

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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$27.54$25.70 to $33.88
FacilityA hospital or hospital-owned outpatient department$21.88$16.98 to $26.30

How much rates vary

Facilitymedian $22 · 10th to 90th $15 to $35Professionalmedian $28 · 10th to 90th $26 to $34
$20$50facility $22professional $28

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Facility
Modifier
None
Typical Low
$11.75
Median
$11.75
Typical High
$11.75
Cigna
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$27.54
Typical High
$33.88
Health Smart
Setting
Facility
Modifier
None
Typical Low
$26.30
Median
$26.30
Typical High
$26.30
Health Smart
Setting
Professional
Modifier
None
Typical Low
$26.30
Median
$26.30
Typical High
$26.30
Moda Health
Setting
Facility
Modifier
None
Typical Low
$15.49
Median
$21.88
Typical High
$35.48
Moda Health
Setting
Professional
Modifier
None
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Providence
Setting
Facility
Modifier
None
Typical Low
$15.49
Median
$21.88
Typical High
$31.62
Providence
Setting
Professional
Modifier
None
Typical Low
$25.70
Median
$25.70
Typical High
$25.70

Where Texas sits

The same service costs 3.0 times more in South Dakota than in New Jersey. 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.

Texas· 46th of 50

$21.88

SD $45.71NJ $15.49

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.