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Prescribed Medicine Blood Level

Ohio 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?

$24.55

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $24.55 for this service. The price depends on where it is billed: about $21.88 from a physician practice, and about $38.02 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 8 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$12.59 to $25.70
FacilityA hospital or hospital-owned outpatient department$38.02$26.92 to $58.88

How much rates vary

Facilitymedian $38 · 10th to 90th $22 to $110Professionalmedian $22 · 10th to 90th $11 to $45
$10$20$50$100facility $38professional $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
$21.88
Median
$45.71
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$22.91
Typical High
$109.65
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$28.84
Typical High
$50.12
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$14.13
Typical High
$30.90
CareSource
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$30.90
CareSource
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$33.88
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$14.79
Typical High
$40.74
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$35.48
Typical High
$112.20
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$12.30
Typical High
$35.48
Molina
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$22.39
Typical High
$32.36
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$28.18
Typical High
$53.70
United
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$26.92
Typical High
$40.74
United
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$14.79
Typical High
$26.92

Where Ohio 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.

Ohio· 28th of 51

$24.55

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.