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Blood Test To Monitor A Specific Medication Level

New Jersey 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?

$16.98

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $16.98 for this service. The price depends on where it is billed: about $10.72 from a physician practice, and about $48.98 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$10.72$9.55 to $15.14
FacilityA hospital or hospital-owned outpatient department$48.98$18.62 to $83.18

How much rates vary

Facilitymedian $49 · 10th to 90th $13 to $174Professionalmedian $11 · 10th to 90th $7 to $15
$0.1$1.0$10.0$100.0$1.0K$10.0Kfacility $49professional $11

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
$13.49
Median
$51.29
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$10.72
Typical High
$15.49
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$8.13
Typical High
$8.13
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$67.61
Typical High
$1,479.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$28.84
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$10.96
Typical High
$37.15
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$6.61
Typical High
$15.14
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$11.75
Typical High
$14.45
United
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$13.18
Typical High
$26.92
United
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$7.94
Typical High
$18.20

Where New Jersey 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.

New Jersey $16.98 · 20th 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.