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Blood Test Measuring An Anti-Seizure Medication Level

Massachusetts rates for HCPCS 80186

This blood test measures the level of a specific anti-seizure medication in the bloodstream, helping doctors confirm the dose is high enough to control seizures without reaching a level that causes side effects. It's typically ordered periodically for patients on long-term seizure medication, especially after a dose change or if seizures continue or side effects appear. It requires only a standard blood draw.

Rates data updated July 2026.

How much does Blood Test Measuring An Anti-Seizure Medication Level cost?

$16.60

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $16.60 for this service. The price depends on where it is billed: about $13.80 from a physician practice, and about $33.88 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 9 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$13.80$13.18 to $20.89
FacilityA hospital or hospital-owned outpatient department$33.88$19.95 to $43.65

How much rates vary

Facilitymedian $34 · 10th to 90th $13 to $69Professionalmedian $14 · 10th to 90th $11 to $42
$10$50$200$1Kfacility $34professional $14

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
$13.80
Median
$35.48
Typical High
$75.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$13.18
Typical High
$61.66
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$19.50
Typical High
$81.28
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$13.80
Typical High
$33.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$33.88
Typical High
$53.70
BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$17.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$21.88
Typical High
$35.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$16.22
Typical High
$36.31
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$114.82
Typical High
$7,079.46
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$23.44
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$41.69
Health New England
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$30.20
Typical High
$81.28
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$19.50
Typical High
$81.28
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$13.80
Typical High
$33.88
United
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$13.80
Typical High
$19.95
United
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$12.30
Typical High
$37.15

Where Massachusetts sits

The same service costs 2.6 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.

Massachusetts· 16th of 51

$16.60

SD $26.92DC $10.23

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.