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Blood Test To Monitor A Specific Medication Level

Nebraska 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?

$34.67

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $34.67 for this service. The price depends on where it is billed: about $13.18 from a physician practice, and about $56.23 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$13.18$8.71 to $34.67
FacilityA hospital or hospital-owned outpatient department$56.23$31.62 to $91.20

How much rates vary

Facilitymedian $56 · 10th to 90th $13 to $158Professionalmedian $13 · 10th to 90th $8 to $87
$5.0$10.0$20.0$50.0$100.0$200.0facility $56professional $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
$26.30
Median
$64.57
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$34.67
Typical High
$87.10
BCBS
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$104.71
Typical High
$239.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$20.42
Typical High
$21.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$25.70
Typical High
$31.62
Medica
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$19.95
Typical High
$194.98
Medica
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$7.94
Typical High
$14.45
Midlands
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$27.54
Midlands
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
United
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$12.02
Typical High
$13.18
United
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$7.94
Typical High
$26.30

Where Nebraska 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.

Nebraska $34.67 · 3rd 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.