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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 October 2026.

How much does Blood Test To Monitor A Specific Medication Level cost?

$12.59

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $12.59 for this service. The price depends on where it is billed: about $11.75 from a physician practice, and about $13.80 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$11.75$10.00 to $14.79
FacilityA hospital or hospital-owned outpatient department$13.80$12.59 to $19.05

How much rates vary

Facilitymedian $14 · 10th to 90th $10 to $40Professionalmedian $12 · 10th to 90th $9 to $18
$10$20$50facility $14professional $12

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$12.59
Median
$12.59
Typical High
$19.50
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$6.31
Median
$6.31
Typical High
$9.77
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$2.51
Median
$2.51
Typical High
$3.89
Aetna
Setting
Professional
Modifier
None
Typical Low
$11.22
Median
$12.59
Typical High
$13.49
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$5.62
Median
$6.31
Typical High
$6.76
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$2.24
Median
$2.51
Typical High
$2.69
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$10.00
Median
$14.13
Typical High
$24.55
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$10.00
Typical High
$10.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$7.76
Median
$10.72
Typical High
$19.05
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$12.59
Median
$16.98
Typical High
$48.98
Health Alliance Plan
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$6.31
Median
$6.31
Typical High
$9.77
Health Alliance Plan
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$2.51
Median
$2.51
Typical High
$3.89
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$11.22
Median
$15.85
Typical High
$20.42
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$6.31
Median
$6.31
Typical High
$6.31
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$2.51
Median
$2.51
Typical High
$2.51
Priority Health
Setting
Professional
Modifier
None
Typical Low
$7.76
Median
$13.18
Typical High
$17.38
United
Setting
Facility
Modifier
None
Typical Low
$7.94
Median
$12.02
Typical High
$15.85
United
Setting
Professional
Modifier
None
Typical Low
$5.62
Median
$10.96
Typical High
$17.38

Where Michigan sits

The same service costs 4.2 times more in Alaska than in Georgia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Michigan· 30th of 51

$12.59

AK $36.31GA $8.71

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.