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Prescribed Medicine Blood Level

Massachusetts 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?

$26.92

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $26.92 for this service. The price depends on where it is billed: about $26.92 from a physician practice, and about $53.70 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 8 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$26.92$19.95 to $26.92
FacilityA hospital or hospital-owned outpatient department$53.70$32.36 to $75.86

How much rates vary

Facilitymedian $54 · 10th to 90th $20 to $87Professionalmedian $27 · 10th to 90th $16 to $58
$20$50$100$200$500$1K$2Kfacility $54professional $27

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
$17.38
Median
$47.86
Typical High
$87.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$17.38
Typical High
$25.70
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$30.90
Typical High
$128.82
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$24.55
Typical High
$66.07
BCBS
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$53.70
Typical High
$77.62
BCBS
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$25.70
Typical High
$26.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$23.44
Typical High
$43.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$31.62
Typical High
$70.79
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$141.25
Typical High
$8,511.38
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$45.71
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$60.26
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$30.90
Typical High
$128.82
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$24.55
Typical High
$66.07
United
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$24.55
Typical High
$29.51
United
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$24.55
Typical High
$66.07

Where Massachusetts 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.

Massachusetts· 23rd of 51

$26.92

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.