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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 July 2026.

How much does Tacrolimus Drug Level Blood Test cost?

$17.38

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $17.38 for this service. The price depends on where it is billed: about $12.30 from a physician practice, and about $47.86 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 7 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$10.72 to $14.45
FacilityA hospital or hospital-owned outpatient department$47.86$21.38 to $97.72

How much rates vary

Facilitymedian $48 · 10th to 90th $14 to $347Professionalmedian $12 · 10th to 90th $9 to $20
$10.0$100.0$1.0K$10.0Kfacility $48professional $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
$13.80
Median
$48.98
Typical High
$288.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$12.30
Typical High
$19.05
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.51
Typical High
$9.55
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$131.83
Typical High
$2,951.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$30.20
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$13.49
Typical High
$38.02
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$6.92
Typical High
$15.49
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$12.02
Typical High
$15.49
United
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$13.80
Typical High
$28.84
United
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$8.32
Typical High
$19.95

Where New Jersey 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.

New Jersey $17.38 · 26th 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.