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Tacrolimus Drug Level Blood Test

West 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 October 2026.

How much does Tacrolimus Drug Level Blood Test cost?

$12.30

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $12.30 for this service. The price depends on where it is billed: about $10.23 from a physician practice, and about $40.74 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$10.23$8.13 to $23.99
FacilityA hospital or hospital-owned outpatient department$40.74$12.30 to $123

How much rates vary

Facilitymedian $41 · 10th to 90th $12 to $245Professionalmedian $10 · 10th to 90th $6 to $37
$5$10$20$50$100$200$500facility $41professional $10

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$11.22
Median
$12.30
Typical High
$31.62
Aetna
Setting
Professional
Modifier
None
Typical Low
$10.96
Median
$11.22
Typical High
$12.88
CareSource
Setting
Facility
Modifier
None
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
CareSource
Setting
Professional
Modifier
None
Typical Low
$13.80
Median
$13.80
Typical High
$16.60
Cigna
Setting
Facility
Modifier
None
Typical Low
$13.49
Median
$28.18
Typical High
$40.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$6.31
Median
$23.99
Typical High
$91.20
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$58.88
Median
$123.03
Typical High
$323.59
Highmark BCBS
Setting
Professional
Modifier
None
Typical Low
$8.32
Median
$8.32
Typical High
$10.23
United
Setting
Facility
Modifier
None
Typical Low
$8.32
Median
$8.32
Typical High
$8.32
United
Setting
Professional
Modifier
None
Typical Low
$6.17
Median
$8.51
Typical High
$37.15

Where West Virginia 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.

West Virginia· 37th 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.