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Blood Test To Monitor A Specific Medication Level

Georgia 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?

$12.59

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $12.59 for this service. The price depends on where it is billed: about $10.23 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 7 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$10.23$7.94 to $12.59
FacilityA hospital or hospital-owned outpatient department$21.88$15.14 to $37.15

How much rates vary

Facilitymedian $22 · 10th to 90th $11 to $166Professionalmedian $10 · 10th to 90th $7 to $26
$0.1$1.0$10.0$100.0facility $22professional $10

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
$12.02
Median
$24.55
Typical High
$281.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$11.22
Typical High
$27.54
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$8.13
Typical High
$19.05
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$17.78
Typical High
$26.30
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$6.61
Typical High
$22.39
CareSource
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$7.24
Typical High
$7.24
CareSource
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$13.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$26.30
Typical High
$40.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$9.12
Typical High
$26.92
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$18.62
Typical High
$25.12
United
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$12.02
Typical High
$15.85
United
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$7.94
Typical High
$18.62

Where Georgia 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.

Georgia $12.59 · 43rd 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.