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Prescribed Medicine Blood Level

Connecticut 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?

$17.38

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $17.38 for this service. The price depends on where it is billed: about $16.22 from a physician practice, and about $42.66 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$16.22$16.22 to $19.05
FacilityA hospital or hospital-owned outpatient department$42.66$26.92 to $54.95

How much rates vary

Facilitymedian $43 · 10th to 90th $27 to $76Professionalmedian $16 · 10th to 90th $13 to $29
$10$20$50$100facility $43professional $16

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
$26.92
Median
$44.67
Typical High
$75.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$16.22
Typical High
$28.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$42.66
Typical High
$72.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$18.62
Typical High
$29.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$35.48
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$28.18
Typical High
$41.69
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$21.88
Typical High
$35.48
United
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
United
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$18.62
Typical High
$47.86

Where Connecticut 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.

Connecticut· 51st of 51

$17.38

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.