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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 October 2026.

How much does Tacrolimus Drug Level Blood Test cost?

$10.96

Typical negotiated rate. In North Carolina, October 2026.

Insurers have agreed to pay about $10.96 for this service. The price depends on where it is billed: about $10.96 from a physician practice, and about $15.14 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$10.96$9.33 to $15.49
FacilityA hospital or hospital-owned outpatient department$15.14$10.96 to $28.84

How much rates vary

Facilitymedian $15 · 10th to 90th $11 to $47Professionalmedian $11 · 10th to 90th $7 to $21
$10$20$50facility $15professional $11

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$10.96
Median
$13.18
Typical High
$32.36
Aetna
Setting
Professional
Modifier
None
Typical Low
$10.96
Median
$10.96
Typical High
$16.60
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$5.50
Median
$5.50
Typical High
$5.89
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$2.19
Median
$2.19
Typical High
$2.34
Ambetter
Setting
Professional
Modifier
None
Typical Low
$8.32
Median
$9.55
Typical High
$63.10
BCBS North Carolina
Setting
Facility
Modifier
None
Typical Low
$30.90
Median
$42.66
Typical High
$51.29
BCBS North Carolina
Setting
Professional
Modifier
None
Typical Low
$6.17
Median
$6.17
Typical High
$9.55
Cigna
Setting
Facility
Modifier
None
Typical Low
$9.55
Median
$29.51
Typical High
$63.10
Cigna
Setting
Professional
Modifier
None
Typical Low
$7.08
Median
$9.33
Typical High
$20.89
Medcost
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$28.84
Typical High
$54.95
Medcost
Setting
Facility
Modifier
None
Typical Low
$10.72
Median
$10.96
Typical High
$28.84
Medcost
Setting
Professional
Modifier
None
Typical Low
$10.96
Median
$19.50
Typical High
$25.12
United
Setting
Professional
Modifier
None
Typical Low
$5.75
Median
$9.55
Typical High
$19.05

Where North Carolina sits

The same service costs 4.1 times more in Alaska than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

North Carolina· 49th of 51

$10.96

AK $41.69MD $10.23

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.