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Tacrolimus Drug Level Blood Test

Rhode Island 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?

$15.85

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $15.85 for this service. The price depends on where it is billed: about $13.18 from a physician practice, and about $38.02 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 4 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$13.18$10.23 to $13.18
FacilityA hospital or hospital-owned outpatient department$38.02$20.89 to $79.43

How much rates vary

Facilitymedian $38 · 10th to 90th $16 to $81Professionalmedian $13 · 10th to 90th $8 to $25
$10.0$20.0$50.0$100.0$200.0facility $38professional $13

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
$20.89
Median
$64.57
Typical High
$81.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$13.18
Typical High
$13.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$16.60
Typical High
$17.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$10.23
Typical High
$20.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$33.11
Typical High
$57.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$10.47
Typical High
$20.89
United
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$27.54
United
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$18.20
Typical High
$34.67

Where Rhode Island 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.

Rhode Island $15.85 · 34th 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.