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Blood Test To Monitor A Specific Medication Level

North Carolina 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?

$21.88

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $21.88 for this service. The price depends on where it is billed: about $11.75 from a physician practice, and about $43.65 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$11.75$10.72 to $17.38
FacilityA hospital or hospital-owned outpatient department$43.65$14.13 to $112

How much rates vary

Facilitymedian $44 · 10th to 90th $11 to $224Professionalmedian $12 · 10th to 90th $9 to $39
$0.1$1.0$10.0$100.0$1.0Kfacility $44professional $12

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
$43.65
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$11.75
Typical High
$38.90
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$9.12
Typical High
$9.12
BCBS
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$54.95
Typical High
$54.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$9.33
Typical High
$11.75
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$25.70
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$8.71
Typical High
$19.95
Medcost
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Medcost
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$9.55
Typical High
$13.80
Medcost
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$16.22
United
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$17.38
Typical High
$21.88
United
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$9.12
Typical High
$18.20
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$85.11

Where North Carolina 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.

North Carolina $21.88 · 11th 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.