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Prescribed Medicine Blood Level

Indiana 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?

$22.91

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $22.91 for this service. The price depends on where it is billed: about $22.39 from a physician practice, and about $26.92 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$22.39$14.79 to $22.39
FacilityA hospital or hospital-owned outpatient department$26.92$26.92 to $53.70

How much rates vary

Facilitymedian $27 · 10th to 90th $25 to $81Professionalmedian $22 · 10th to 90th $10 to $26
$10$20$50$100$200facility $27professional $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
$22.39
Median
$30.20
Typical High
$81.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$22.39
Typical High
$25.70
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$81.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$12.30
Typical High
$24.55
CareSource
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$33.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$26.92
Typical High
$51.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$12.30
Typical High
$38.90
United
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$26.92
Typical High
$26.92
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$14.13
Typical High
$29.51

Where Indiana 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.

Indiana· 37th of 51

$22.91

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.