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Blood Test To Monitor A Specific Medication Level

Missouri 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 Missouri, July 2026.

Insurers have agreed to pay about $18.20 for this service. The price depends on where it is billed: about $12.88 from a physician practice, and about $22.91 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 7 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$12.88$9.12 to $18.62
FacilityA hospital or hospital-owned outpatient department$22.91$15.85 to $50.12

How much rates vary

Facilitymedian $23 · 10th to 90th $12 to $110Professionalmedian $13 · 10th to 90th $7 to $35
$5.0$10.0$20.0$50.0$100.0$200.0facility $23professional $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
$11.48
Median
$22.91
Typical High
$123.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$12.88
Typical High
$100.00
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$13.18
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$46.77
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$10.96
Typical High
$33.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$26.30
Typical High
$46.77
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$25.70
Typical High
$74.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$11.48
Typical High
$21.38
Medica
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$22.91
Typical High
$63.10
Medica
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$7.94
Typical High
$16.22
United
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$13.18
Typical High
$16.22
United
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$9.77
Typical High
$17.78

Where Missouri 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.

Missouri $18.20 · 16th 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.