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Tacrolimus Drug Level Blood Test

Maine 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?

$13.80

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $13.80 for this service. The price depends on where it is billed: about $13.80 from a physician practice, and about $33.88 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$13.80$10.00 to $13.80
FacilityA hospital or hospital-owned outpatient department$33.88$13.80 to $67.61

How much rates vary

Facilitymedian $34 · 10th to 90th $14 to $245Professionalmedian $14 · 10th to 90th $7 to $17
$5.0$10.0$20.0$50.0$100.0$200.0$500.0facility $34professional $14

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
$33.88
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$11.22
Typical High
$15.85
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$67.61
Typical High
$74.13
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$7.76
Typical High
$10.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$19.05
Typical High
$30.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$13.80
Typical High
$19.50
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$13.80
Typical High
$16.60
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$34.67
Typical High
$263.03
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$13.80
Typical High
$19.05
United
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
United
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$13.80
Typical High
$26.30

Where Maine 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.

Maine $13.80 · 41st 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.