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Prescribed Medicine Blood Level

North Carolina 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?

$21.88

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $21.88 for this service. The price depends on where it is billed: about $21.88 from a physician practice, and about $23.99 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$21.88$19.50 to $21.88
FacilityA hospital or hospital-owned outpatient department$23.99$21.88 to $46.77

How much rates vary

Facilitymedian $24 · 10th to 90th $13 to $91Professionalmedian $22 · 10th to 90th $13 to $33
$20$50$100facility $24professional $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
$16.98
Median
$23.99
Typical High
$91.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$21.88
Typical High
$35.48
BCBS
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$74.13
Typical High
$74.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$19.05
Typical High
$22.39
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$52.48
Typical High
$123.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$12.59
Typical High
$36.31
Medcost
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$13.49
Typical High
$26.92
Medcost
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$22.39
United
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$24.55
Typical High
$32.36
United
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$13.49
Typical High
$26.92
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82

Where North Carolina 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.

North Carolina· 41st of 51

$21.88

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.