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Tacrolimus Drug Level Blood Test

Connecticut rates for HCPCS 80197

This blood test measures the level of the immune-suppressing medication tacrolimus in the bloodstream. It is used to make sure a patient, often someone who has had an organ transplant, is receiving a safe and effective dose of the medication.

Rates data updated July 2026.

How much does Tacrolimus Drug Level Blood Test cost?

$12.59

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $12.59 for this service. The price depends on where it is billed: about $12.30 from a physician practice, and about $23.44 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 6 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$12.30$12.02 to $12.59
FacilityA hospital or hospital-owned outpatient department$23.44$16.60 to $37.15

How much rates vary

Facilitymedian $23 · 10th to 90th $14 to $52Professionalmedian $12 · 10th to 90th $8 to $16
$5.0$10.0$20.0$50.0$100.0$200.0facility $23professional $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
$13.80
Median
$23.99
Typical High
$54.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$12.30
Typical High
$13.80
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$21.38
Typical High
$37.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$8.32
Typical High
$21.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$22.39
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$15.85
Typical High
$20.89
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$13.80
Typical High
$19.95
Health New England
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$9.55
Typical High
$74.13
United
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
United
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$13.80
Typical High
$28.18

Where Connecticut sits

The same service costs 10.2 times more in West Virginia than in Tennessee. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Connecticut $12.59 · 48th of 51
WV $126TN $12.30

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.