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Tacrolimus Drug Level Blood Test

New Jersey 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?

$12.30

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $12.30 for this service. The price depends on where it is billed: about $9.55 from a physician practice, and about $57.54 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$9.55$9.33 to $11.75
FacilityA hospital or hospital-owned outpatient department$57.54$19.05 to $8,710

How much rates vary

Facilitymedian $58 · 10th to 90th $12 to $19,953Professionalmedian $10 · 10th to 90th $7 to $16
$10$100$1K$10Kfacility $58professional $10

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
$10.72
Median
$12.30
Typical High
$26.30
Aetna
Setting
Professional
Modifier
None
Typical Low
$9.55
Median
$10.72
Typical High
$14.45
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$5.37
Median
$5.37
Typical High
$7.94
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$2.14
Median
$2.14
Typical High
$3.16
Ambetter
Setting
Professional
Modifier
None
Typical Low
$8.51
Median
$8.51
Typical High
$8.51
AmeriHealth
Setting
Facility
Modifier
None
Typical Low
$37.15
Median
$154.88
Typical High
$3,019.95
Cigna
Setting
Facility
Modifier
None
Typical Low
$15.14
Median
$32.36
Typical High
$67.61
Cigna
Setting
Professional
Modifier
None
Typical Low
$7.59
Median
$13.49
Typical High
$27.54
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$5.50
Median
$6.92
Typical High
$10.72
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$7,762.47
Median
$17,782.79
Typical High
$27,542.29
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$9.55
Median
$9.55
Typical High
$9.55
United
Setting
Facility
Modifier
None
Typical Low
$12.30
Median
$12.30
Typical High
$12.30
United
Setting
Professional
Modifier
None
Typical Low
$5.75
Median
$8.32
Typical High
$16.22

Where New Jersey 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.

New Jersey· 38th of 51

$12.30

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.