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Tacrolimus Drug Level Blood Test

Kentucky 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 Kentucky, July 2026.

Insurers have agreed to pay about $12.59 for this service. The price depends on where it is billed: about $12.02 from a physician practice, and about $47.86 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$12.02$9.55 to $13.80
FacilityA hospital or hospital-owned outpatient department$47.86$16.98 to $219

How much rates vary

Facilitymedian $48 · 10th to 90th $11 to $263Professionalmedian $12 · 10th to 90th $7 to $19
$5.0$20.0$100.0$500.0facility $48professional $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
$11.22
Median
$54.95
Typical High
$263.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$12.30
Typical High
$20.42
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$8.51
Typical High
$11.75
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$13.80
Typical High
$14.45
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$19.05
CareSource
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$18.62
Typical High
$19.05
CareSource
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$16.60
Typical High
$22.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$28.18
Typical High
$28.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$91.20
Typical High
$91.20
United
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$13.80
Typical High
$48.98
United
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$11.48
Typical High
$19.05

Where Kentucky 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.

Kentucky $12.59 · 50th 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.