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Tacrolimus Drug Level Blood Test

Montana 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?

$18.20

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $18.20 for this service. The price depends on where it is billed: about $15.85 from a physician practice, and about $37.15 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$15.85$12.30 to $19.95
FacilityA hospital or hospital-owned outpatient department$37.15$18.20 to $87.10

How much rates vary

Facilitymedian $37 · 10th to 90th $17 to $191Professionalmedian $16 · 10th to 90th $12 to $91
$10.0$100.0$1.0K$10.0K$100.0Kfacility $37professional $16

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
$53.70
Median
$91.20
Typical High
$549.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.59
Typical High
$91.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$18.20
Typical High
$81,283.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$18.20
Typical High
$18.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$23.44
Typical High
$77.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$15.85
Typical High
$19.95
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$19.50
Typical High
$42.66
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$19.50
Typical High
$42.66
Providence
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$26.92
Typical High
$77.62
Providence
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$19.95
United
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
United
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$7.76
Typical High
$19.05

Where Montana 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.

Montana $18.20 · 24th 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.