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Tacrolimus Drug Level Blood Test

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $15.85 for this service. The price depends on where it is billed: about $10.96 from a physician practice, and about $37.15 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 8 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$10.96$10.23 to $12.88
FacilityA hospital or hospital-owned outpatient department$37.15$16.22 to $145

How much rates vary

Facilitymedian $37 · 10th to 90th $14 to $214Professionalmedian $11 · 10th to 90th $7 to $37
$10.0$100.0$1.0K$10.0Kfacility $37professional $11

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
$16.98
Median
$77.62
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$12.02
Typical High
$31.62
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$54.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$10.47
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$64.57
Typical High
$87.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$33.88
Typical High
$61.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$10.00
Typical High
$23.44
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$16.60
Typical High
$20.42
Medcost
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$22.91
Typical High
$26.92
Medcost
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.59
Typical High
$12.88
Medcost
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$14.13
Typical High
$28.84
Sentara
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$23.44
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$23.99
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$13.80
Typical High
$23.44
United
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$8.32
Typical High
$14.45

Where Virginia 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.

Virginia $15.85 · 33rd 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.