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Prescribed Medicine Blood Level

Montana 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?

$33.88

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $33.88 for this service. The price depends on where it is billed: about $33.88 from a physician practice, and about $36.31 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$33.88$30.90 to $57.54
FacilityA hospital or hospital-owned outpatient department$36.31$33.88 to $52.48

How much rates vary

Facilitymedian $36 · 10th to 90th $27 to $81Professionalmedian $34 · 10th to 90th $16 to $178
$10$20$50$100facility $36professional $34

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
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$177.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$45.71
Typical High
$154.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$31.62
Typical High
$38.90
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$35.48
Typical High
$81.28
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$35.48
Typical High
$81.28
Providence
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$52.48
Typical High
$154.88
Providence
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$38.90
United
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
United
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$11.48
Typical High
$24.55

Where Montana 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.

Montana· 6th of 51

$33.88

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.