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Prescribed Medicine Blood Level

Iowa 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?

$28.84

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $28.84 for this service. The price depends on where it is billed: about $21.88 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 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$21.88$17.78 to $52.48
FacilityA hospital or hospital-owned outpatient department$42.66$26.92 to $70.79

How much rates vary

Facilitymedian $43 · 10th to 90th $21 to $79Professionalmedian $22 · 10th to 90th $16 to $178
$20$50$100facility $43professional $22

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
$20.89
Median
$64.57
Typical High
$79.43
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$20.89
Typical High
$177.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$52.48
Typical High
$66.07
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$43.65
Typical High
$52.48
Medica
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$32.36
Typical High
$72.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$26.92
Typical High
$58.88
Midlands
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$33.11
Typical High
$35.48
Midlands
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$21.88
United
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$16.22
Typical High
$58.88
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$26.92
Typical High
$26.92

Where Iowa 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.

Iowa· 13th of 51

$28.84

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.