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Prescribed Medicine Blood Level

Colorado rates for HCPCS 80199

A blood test that measures how much of a particular prescribed medicine is present in the bloodstream. The result lets the prescriber confirm the dose is in the range where it works without reaching a level that causes side effects.

Rates data updated July 2026.

How much does Prescribed Medicine Blood Level cost?

$24.55

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $24.55 for this service. The price depends on where it is billed: about $20.42 from a physician practice, and about $72.44 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$20.42$18.20 to $22.91
FacilityA hospital or hospital-owned outpatient department$72.44$36.31 to $112

How much rates vary

Facilitymedian $72 · 10th to 90th $21 to $138Professionalmedian $20 · 10th to 90th $11 to $26
$10$20$50$100$200facility $72professional $20

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
$58.88
Typical High
$125.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$20.89
Typical High
$25.70
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$81.28
Typical High
$138.04
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$11.48
Typical High
$20.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$17.78
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$14.45
Typical High
$38.90
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$26.30
Typical High
$33.11
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$61.66
Typical High
$61.66
Select Health
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$50.12
Typical High
$57.54
Select Health
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$26.92
United
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$26.92
Typical High
$40.74
United
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$11.48
Typical High
$24.55

Where Colorado sits

The same service costs 2.6 times more in South Dakota than in Connecticut. 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.

Colorado· 27th of 51

$24.55

SD $44.67CT $17.38

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.