go back

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 October 2026.

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

$10.72

Typical negotiated rate. In North Carolina, October 2026.

Insurers have agreed to pay about $10.72 for this service. The price depends on where it is billed: about $10.72 from a physician practice, and about $11.48 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$10.72$8.32 to $13.18
FacilityA hospital or hospital-owned outpatient department$11.48$10.72 to $21.88

How much rates vary

Facilitymedian $11 · 10th to 90th $10 to $60Professionalmedian $11 · 10th to 90th $7 to $19
$10$20$50facility $11professional $11

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
$10.47
Median
$10.72
Typical High
$18.62
Aetna
Setting
Professional
Modifier
None
Typical Low
$9.33
Median
$10.72
Typical High
$14.45
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$5.25
Median
$5.25
Typical High
$5.25
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$2.14
Median
$2.14
Typical High
$2.14
Ambetter
Setting
Professional
Modifier
None
Typical Low
$6.61
Median
$8.91
Typical High
$9.12
BCBS North Carolina
Setting
Facility
Modifier
None
Typical Low
$29.51
Median
$39.81
Typical High
$47.86
BCBS North Carolina
Setting
Professional
Modifier
None
Typical Low
$6.03
Median
$11.75
Typical High
$11.75
Cigna
Setting
Facility
Modifier
None
Typical Low
$9.12
Median
$28.84
Typical High
$60.26
Cigna
Setting
Professional
Modifier
None
Typical Low
$6.92
Median
$8.71
Typical High
$20.42
Medcost
Setting
Professional
Modifier
None
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Medcost
Setting
Facility
Modifier
None
Typical Low
$8.71
Median
$10.72
Typical High
$15.85
Medcost
Setting
Professional
Modifier
None
Typical Low
$10.72
Median
$18.20
Typical High
$20.89
United
Setting
Professional
Modifier
None
Typical Low
$5.62
Median
$9.12
Typical High
$18.20

Where North Carolina 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.

North Carolina· 44th of 51

$10.72

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.