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Blood Test To Monitor A Specific Medication Level

Delaware rates for HCPCS 80175

This blood test measures the level of a specific medication in the body. It is used to make sure the amount of the drug in a person's system is within a safe and effective range.

Rates data updated July 2026.

How much does Blood Test To Monitor A Specific Medication Level cost?

$15.14

Typical negotiated rate. In Delaware, July 2026.

Insurers have agreed to pay about $15.14 for this service. The price depends on where it is billed: about $10.96 from a physician practice, and about $45.71 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 4 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$10.96$10.47 to $39.81
FacilityA hospital or hospital-owned outpatient department$45.71$13.80 to $148

How much rates vary

Facilitymedian $46 · 10th to 90th $11 to $178Professionalmedian $11 · 10th to 90th $10 to $40
$10.0$20.0$50.0$100.0facility $46professional $11

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
$10.96
Median
$45.71
Typical High
$177.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$10.96
Typical High
$39.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$8.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.91
Typical High
$24.55
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$33.88
Typical High
$64.57
United
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$10.96
Typical High
$18.20

Where Delaware sits

The same service costs 7.2 times more in South Dakota than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Delaware $15.14 · 32nd of 51
SD $72.44DC $10.00

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.