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Prescribed Medicine Blood Level

Illinois 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?

$32.36

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $32.36 for this service. The price depends on where it is billed: about $23.44 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 6 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$23.44$21.88 to $38.90
FacilityA hospital or hospital-owned outpatient department$42.66$27.54 to $54.95

How much rates vary

Facilitymedian $43 · 10th to 90th $22 to $74Professionalmedian $23 · 10th to 90th $16 to $55
$10$20$50$100$200facility $43professional $23

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
$22.39
Median
$42.66
Typical High
$54.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$23.44
Typical High
$54.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$95.50
Typical High
$338.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$3.47
Typical High
$20.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$56.23
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$29.51
Typical High
$41.69
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$44.67
Typical High
$100.00
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
Molina
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
United
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$26.92
Typical High
$53.70
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$14.79
Typical High
$24.55

Where Illinois 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.

Illinois· 8th of 51

$32.36

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.