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Prescribed Medicine Blood Level

New York 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?

$22.91

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $22.91 for this service. The price depends on where it is billed: about $16.22 from a physician practice, and about $42.66 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 9 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$16.22$13.49 to $26.92
FacilityA hospital or hospital-owned outpatient department$42.66$26.92 to $63.10

How much rates vary

Facilitymedian $43 · 10th to 90th $19 to $74Professionalmedian $16 · 10th to 90th $11 to $42
$10$20$50$100facility $43professional $16

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
$19.95
Median
$44.67
Typical High
$74.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$16.22
Typical High
$26.92
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$70.79
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$11.75
Typical High
$45.71
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$26.92
Typical High
$26.92
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$26.92
Typical High
$26.92
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$57.54
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$32.36
Typical High
$131.83
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$30.90
Typical High
$64.57
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$16.22
Typical High
$52.48
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$10.72
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$19.50
Typical High
$28.18
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$51.29
Typical High
$257.04
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$26.92
Typical High
$56.23
United
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$26.92
Typical High
$33.88
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$16.22
Typical High
$61.66
Univera
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$12.59
Typical High
$30.90
Univera
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$22.91
Typical High
$32.36

Where New York 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 York· 32nd of 51

$22.91

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.