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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 October 2026.

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

$13.18

Typical negotiated rate. In Nebraska, October 2026.

Insurers have agreed to pay about $13.18 for this service. The price depends on where it is billed: about $7.94 from a physician practice, and about $48.98 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$7.94$7.94 to $13.18
FacilityA hospital or hospital-owned outpatient department$48.98$19.50 to $123

How much rates vary

Facilitymedian $49 · 10th to 90th $9 to $191Professionalmedian $8 · 10th to 90th $8 to $27
$5$10$20$50$100$200facility $49professional $8

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
$9.33
Median
$29.51
Typical High
$31.62
Aetna
Setting
Professional
Modifier
None
Typical Low
$7.08
Median
$8.71
Typical High
$9.77
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$25.12
Median
$123.03
Typical High
$257.04
Cigna
Setting
Facility
Modifier
None
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$15.14
Median
$16.22
Typical High
$31.62
Medica
Setting
Facility
Modifier
None
Typical Low
$7.94
Median
$26.92
Typical High
$194.98
Medica
Setting
Professional
Modifier
None
Typical Low
$7.94
Median
$7.94
Typical High
$52.48
Midlands
Setting
Professional
Modifier
None
Typical Low
$16.22
Median
$16.22
Typical High
$23.99
Midlands
Setting
Facility
Modifier
None
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
United
Setting
Facility
Modifier
None
Typical Low
$4.79
Median
$5.62
Typical High
$7.94
United
Setting
Professional
Modifier
None
Typical Low
$7.59
Median
$7.94
Typical High
$26.30
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Ambetter
Setting
Professional
Modifier
90 · Outside lab
Typical Low
$33.11
Median
$33.11
Typical High
$33.11

Where Nebraska 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.

Nebraska· 29th of 51

$13.18

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.