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Blood Test To Monitor A Specific Medication Level

Maine 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?

$15.85

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $15.85 for this service. The price depends on where it is billed: about $13.18 from a physician practice, and about $26.92 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$13.18$10.72 to $13.49
FacilityA hospital or hospital-owned outpatient department$26.92$15.49 to $79.43

How much rates vary

Facilitymedian $27 · 10th to 90th $13 to $148Professionalmedian $13 · 10th to 90th $7 to $17
$5.0$10.0$20.0$50.0$100.0facility $27professional $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
$26.92
Typical High
$147.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.72
Typical High
$13.18
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$114.82
Typical High
$125.89
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$7.59
Typical High
$16.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$19.05
Typical High
$30.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$13.49
Typical High
$19.05
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$13.18
Typical High
$16.22
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$28.84
Typical High
$169.82
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$13.18
Typical High
$15.49
United
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$13.18
Typical High
$26.92

Where Maine 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.

Maine $15.85 · 28th 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.