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Blood Test To Monitor A Specific Medication Level

Maryland 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?

$12.02

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $12.02 for this service. The price depends on where it is billed: about $10.00 from a physician practice, and about $34.67 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$10.00$7.94 to $12.59
FacilityA hospital or hospital-owned outpatient department$34.67$22.39 to $40.74

How much rates vary

Facilitymedian $35 · 10th to 90th $10 to $46Professionalmedian $10 · 10th to 90th $7 to $17
$0.1$1.0$10.0$100.0facility $35professional $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
$9.77
Median
$34.67
Typical High
$45.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$10.00
Typical High
$16.22
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$9.55
Typical High
$12.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$8.91
Typical High
$16.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$12.59
Typical High
$23.44
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$15.14
Typical High
$19.95
United
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$6.31
Typical High
$22.39
United
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$7.59
Typical High
$18.20
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$9.12
Typical High
$19.95

Where Maryland 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.

Maryland $12.02 · 46th 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.