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Prescribed Medicine Blood Level

Missouri 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 Missouri, July 2026.

Insurers have agreed to pay about $26.92 for this service. The price depends on where it is billed: about $23.44 from a physician practice, and about $35.48 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$14.79 to $30.90
FacilityA hospital or hospital-owned outpatient department$35.48$26.92 to $46.77

How much rates vary

Facilitymedian $35 · 10th to 90th $25 to $63Professionalmedian $23 · 10th to 90th $11 to $47
$10$20$50$100facility $35professional $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
$26.30
Median
$45.71
Typical High
$63.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$26.30
Typical High
$45.71
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$95.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$18.62
Typical High
$47.86
BCBS
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$35.48
Typical High
$64.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$52.48
Typical High
$102.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$21.38
Typical High
$36.31
Medica
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$33.88
Typical High
$128.82
Medica
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$14.79
Typical High
$28.84
United
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$26.92
Typical High
$32.36
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$14.79
Typical High
$32.36

Where Missouri 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.

Missouri· 21st 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.