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Blood Test To Monitor A Specific Medication Level

Rhode Island 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?

$13.49

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $13.49 for this service. The price depends on where it is billed: about $13.49 from a physician practice, and about $39.81 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 4 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$13.49$10.00 to $13.49
FacilityA hospital or hospital-owned outpatient department$39.81$18.20 to $56.23

How much rates vary

Facilitymedian $40 · 10th to 90th $16 to $81Professionalmedian $13 · 10th to 90th $8 to $22
$0.1$1.0$10.0$100.0facility $40professional $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
$21.88
Median
$51.29
Typical High
$81.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$13.49
Typical High
$13.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$16.22
Typical High
$18.20
BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$10.00
Typical High
$19.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$40.74
Typical High
$56.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$10.23
Typical High
$20.42
United
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$25.12
United
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$13.18
Typical High
$26.30

Where Rhode Island 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.

Rhode Island $13.49 · 38th 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.