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Blood Test To Monitor A Specific Medication Level

Michigan 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 Michigan, July 2026.

Insurers have agreed to pay about $12.59 for this service. The price depends on where it is billed: about $12.59 from a physician practice, and about $13.18 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$12.59$10.00 to $12.59
FacilityA hospital or hospital-owned outpatient department$13.18$12.59 to $19.05

How much rates vary

Facilitymedian $13 · 10th to 90th $11 to $23Professionalmedian $13 · 10th to 90th $8 to $17
$0.1$1.0$10.0$100.0facility $13professional $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
$11.22
Median
$13.18
Typical High
$22.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$12.59
Typical High
$15.85
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$15.14
Typical High
$26.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$10.00
Typical High
$10.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$14.79
Typical High
$19.05
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$12.88
Typical High
$22.91
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$15.85
Typical High
$22.91
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$15.14
Typical High
$18.62
United
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$13.18
Typical High
$13.18
United
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$10.96
Typical High
$17.38

Where Michigan 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.

Michigan $12.59 · 42nd 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.