go back

Blood Test To Monitor A Specific Medication Level

New Mexico 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?

$15.85

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $15.85 for this service. The price depends on where it is billed: about $10.00 from a physician practice, and about $38.90 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 5 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$10.00$7.08 to $15.85
FacilityA hospital or hospital-owned outpatient department$38.90$23.99 to $74.13

How much rates vary

Facilitymedian $39 · 10th to 90th $16 to $123Professionalmedian $10 · 10th to 90th $0 to $26
$0.1$1$10$100$1K$10K$100Kfacility $39professional $10

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
$15.85
Median
$37.15
Typical High
$42.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.08
Median
$10.00
Typical High
$87.10
BCBS
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$87.10
Typical High
$141.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$10.96
Typical High
$12.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$8.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$18.62
Typical High
$26.30
Providence
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$12.59
Typical High
$16.22
Providence
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$18.62
Typical High
$26.30
United
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$12.02
Typical High
$19.95
United
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$7.59
Typical High
$10.00

Where New Mexico sits

The same service costs 7.2 times more in South Dakota than in Washington, DC. 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.

New Mexico· 30th of 51

$15.85

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.