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Blood Test Measuring An Anti-Seizure Medication Level

New Jersey 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 New Jersey, July 2026.

Insurers have agreed to pay about $16.60 for this service. The price depends on where it is billed: about $11.75 from a physician practice, and about $31.62 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$11.75$10.23 to $16.22
FacilityA hospital or hospital-owned outpatient department$31.62$21.88 to $79.43

How much rates vary

Facilitymedian $32 · 10th to 90th $14 to $166Professionalmedian $12 · 10th to 90th $9 to $27
$10.0$100.0$1.0K$10.0Kfacility $32professional $12

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
$17.78
Median
$31.62
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$11.75
Typical High
$38.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$30.20
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$13.49
Typical High
$38.90
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$6.92
Typical High
$15.49
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$10,715.19
Typical High
$25,118.86
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$12.02
Typical High
$15.49
United
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$13.80
Typical High
$28.18
United
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$8.32
Typical High
$19.05

Where New Jersey sits

The same service costs 2.6 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 $16.60 · 17th of 51
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.