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Tacrolimus Drug Level Blood Test

North Carolina 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?

$26.30

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $26.30 for this service. The price depends on where it is billed: about $12.30 from a physician practice, and about $67.61 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$12.30$10.96 to $17.78
FacilityA hospital or hospital-owned outpatient department$67.61$20.89 to $219

How much rates vary

Facilitymedian $68 · 10th to 90th $12 to $269Professionalmedian $12 · 10th to 90th $10 to $39
$5.0$10.0$20.0$50.0$100.0$200.0$500.0facility $68professional $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
$12.02
Median
$77.62
Typical High
$269.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$12.59
Typical High
$38.90
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$9.55
Typical High
$19.50
BCBS
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$58.88
Typical High
$58.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$9.55
Typical High
$12.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$26.30
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$9.33
Typical High
$20.89
Medcost
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$28.84
Typical High
$54.95
Medcost
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$12.59
Typical High
$26.92
Medcost
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$15.85
Typical High
$17.38
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
United
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$18.20
Typical High
$34.67
United
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$9.55
Typical High
$19.50
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50

Where North Carolina 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.

North Carolina $26.30 · 10th 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.