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Tacrolimus Drug Level Blood Test

Maryland 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 Maryland, 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 $81.28 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$10.23 to $13.80
FacilityA hospital or hospital-owned outpatient department$81.28$34.67 to $93.33

How much rates vary

Facilitymedian $81 · 10th to 90th $10 to $100Professionalmedian $12 · 10th to 90th $9 to $17
$5.0$10.0$20.0$50.0$100.0facility $81professional $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
$10.23
Median
$81.28
Typical High
$100.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$12.30
Typical High
$16.98
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$10.96
Typical High
$13.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$9.55
Typical High
$17.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$13.80
Typical High
$33.88
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$16.60
Typical High
$26.92
United
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$6.46
Typical High
$34.67
United
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$8.32
Typical High
$19.05
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$9.55
Typical High
$20.42

Where Maryland 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.

Maryland $12.59 · 49th 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.