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Tacrolimus Drug Level Blood Test

Georgia 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?

$15.14

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $15.14 for this service. The price depends on where it is billed: about $12.02 from a physician practice, and about $22.91 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$12.02$9.12 to $16.22
FacilityA hospital or hospital-owned outpatient department$22.91$15.85 to $97.72

How much rates vary

Facilitymedian $23 · 10th to 90th $12 to $282Professionalmedian $12 · 10th to 90th $7 to $30
$10.0$100.0$1.0Kfacility $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
$12.30
Median
$45.71
Typical High
$295.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$12.02
Typical High
$30.20
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.51
Typical High
$19.95
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$18.20
Typical High
$24.55
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$10.00
Typical High
$28.18
CareSource
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$7.59
CareSource
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$13.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$27.54
Typical High
$42.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$9.77
Typical High
$28.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$19.50
Typical High
$51.29
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$138.04
United
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$12.30
Typical High
$16.98
United
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$8.32
Typical High
$23.99

Where Georgia 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.

Georgia $15.14 · 36th 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.