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Prescribed Medicine Blood Level

New Mexico 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?

$23.99

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $23.99 for this service. The price depends on where it is billed: about $20.42 from a physician practice, and about $32.36 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 4 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$20.42$20.42 to $32.36
FacilityA hospital or hospital-owned outpatient department$32.36$22.39 to $81.28

How much rates vary

Facilitymedian $32 · 10th to 90th $15 to $87Professionalmedian $20 · 10th to 90th $11 to $178
$10$20$50$100facility $32professional $20

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$81.28
Typical High
$87.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$32.36
Typical High
$177.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$17.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$30.20
Typical High
$38.90
Providence
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$25.70
Typical High
$32.36
Providence
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$26.92
Typical High
$36.31
United
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$24.55
Typical High
$40.74
United
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$19.50

Where New Mexico 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.

New Mexico· 30th of 51

$23.99

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.