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Blood Test To Monitor A Specific Medication Level

Illinois 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?

$23.44

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $23.44 for this service. The price depends on where it is billed: about $10.23 from a physician practice, and about $54.95 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$10.23$7.94 to $13.18
FacilityA hospital or hospital-owned outpatient department$54.95$22.39 to $135

How much rates vary

Facilitymedian $55 · 10th to 90th $13 to $155Professionalmedian $10 · 10th to 90th $3 to $27
$0.1$1.0$10.0$100.0facility $55professional $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
$13.80
Median
$74.13
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$11.48
Typical High
$26.92
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$8.13
Typical High
$8.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$53.70
Typical High
$165.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$9.12
Typical High
$10.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$30.90
Typical High
$61.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$15.49
Typical High
$23.99
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$33.88
Typical High
$131.83
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$17.38
United
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$13.18
Typical High
$26.30
United
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$10.00
Typical High
$18.20

Where Illinois 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.

Illinois $23.44 · 6th 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.