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Blood Test To Monitor A Specific Medication Level

Virginia 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?

$13.18

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $13.18 for this service. The price depends on where it is billed: about $10.00 from a physician practice, and about $28.18 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 8 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$8.13 to $12.59
FacilityA hospital or hospital-owned outpatient department$28.18$14.13 to $79.43

How much rates vary

Facilitymedian $28 · 10th to 90th $13 to $112Professionalmedian $10 · 10th to 90th $7 to $25
$0.1$1.0$10.0$100.0$1.0K$10.0Kfacility $28professional $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
$15.49
Median
$36.31
Typical High
$120.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.00
Typical High
$16.22
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$52.48
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$6.61
Typical High
$10.23
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$61.66
Typical High
$81.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$31.62
Typical High
$67.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$8.91
Typical High
$19.05
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$15.85
Typical High
$19.50
Medcost
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$9.55
Typical High
$18.62
Medcost
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$27.54
Sentara
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$18.20
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$18.20
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$13.18
Typical High
$21.88
United
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$7.59
Typical High
$13.49

Where Virginia 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.

Virginia $13.18 · 40th 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.