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Tacrolimus Drug Level Blood Test

Nebraska 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?

$15.49

Typical negotiated rate. In Nebraska, October 2026.

Insurers have agreed to pay about $15.49 for this service. The price depends on where it is billed: about $8.32 from a physician practice, and about $93.33 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$8.32$8.32 to $13.80
FacilityA hospital or hospital-owned outpatient department$93.33$20.89 to $123

How much rates vary

Facilitymedian $93 · 10th to 90th $10 to $200Professionalmedian $8 · 10th to 90th $8 to $32
$5$10$20$50$100$200facility $93professional $8

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
$9.77
Median
$30.90
Typical High
$32.36
Aetna
Setting
Professional
Modifier
None
Typical Low
$7.24
Median
$9.12
Typical High
$12.59
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$63.10
Median
$123.03
Typical High
$257.04
Cigna
Setting
Facility
Modifier
None
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Cigna
Setting
Professional
Modifier
None
Typical Low
$15.85
Median
$16.98
Typical High
$32.36
Medica
Setting
Facility
Modifier
None
Typical Low
$13.80
Median
$91.20
Typical High
$223.87
Medica
Setting
Professional
Modifier
None
Typical Low
$8.32
Median
$8.32
Typical High
$53.70
Midlands
Setting
Professional
Modifier
None
Typical Low
$16.98
Median
$16.98
Typical High
$25.12
Midlands
Setting
Facility
Modifier
None
Typical Low
$16.98
Median
$16.98
Typical High
$16.98
United
Setting
Facility
Modifier
None
Typical Low
$4.90
Median
$5.75
Typical High
$8.32
United
Setting
Professional
Modifier
None
Typical Low
$7.76
Median
$8.32
Typical High
$27.54
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Ambetter
Setting
Professional
Modifier
90 · Outside lab
Typical Low
$34.67
Median
$34.67
Typical High
$34.67

Where Nebraska 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.

Nebraska· 19th of 51

$15.49

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.