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Tacrolimus Drug Level Blood Test

Vermont 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?

$13.80

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $13.80 for this service. The price depends on where it is billed: about $13.80 from a physician practice, and about $162 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 5 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$13.80$12.59 to $13.80
FacilityA hospital or hospital-owned outpatient department$162$56.23 to $182

How much rates vary

Facilitymedian $162 · 10th to 90th $14 to $182Professionalmedian $14 · 10th to 90th $13 to $14
$5$10$20$50$100$200facility $162professional $14

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$13.80
Typical High
$13.80
BCBS
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$162.18
Typical High
$181.97
BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$16.98
Typical High
$16.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$181.97
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$19.50
Typical High
$23.44
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$10.96
United
Setting
Facility
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$4.79
United
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$15.85
Typical High
$37.15

Where Vermont sits

The same service costs 10.2 times more in West Virginia than in Tennessee. 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.

Vermont· 43rd of 51

$13.80

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.