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Blood Test To Monitor A Specific Medication Level

Massachusetts 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?

$18.20

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $18.20 for this service. The price depends on where it is billed: about $13.18 from a physician practice, and about $38.90 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$13.18$12.59 to $14.79
FacilityA hospital or hospital-owned outpatient department$38.90$22.91 to $67.61

How much rates vary

Facilitymedian $39 · 10th to 90th $13 to $155Professionalmedian $13 · 10th to 90th $8 to $28
$0.1$1.0$10.0$100.0$1.0K$10.0Kfacility $39professional $13

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
$13.18
Median
$48.98
Typical High
$165.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$12.59
Typical High
$14.79
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$18.62
Typical High
$63.10
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$13.18
Typical High
$32.36
BCBS
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$32.36
Typical High
$51.29
BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$16.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$16.98
Typical High
$26.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$15.85
Typical High
$34.67
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$104.71
Typical High
$8,511.38
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$39.81
Health New England
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$28.84
Typical High
$114.82
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$18.62
Typical High
$63.10
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$13.18
Typical High
$32.36
United
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$13.18
Typical High
$18.20
United
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$13.18
Typical High
$36.31

Where Massachusetts 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.

Massachusetts $18.20 · 15th 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.