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Prescribed Medicine Blood Level

Oregon 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?

$26.92

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $26.92 for this service. The price depends on where it is billed: about $26.92 from a physician practice, and about $29.51 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$26.92$24.55 to $37.15
FacilityA hospital or hospital-owned outpatient department$29.51$26.92 to $51.29

How much rates vary

Facilitymedian $30 · 10th to 90th $27 to $54Professionalmedian $27 · 10th to 90th $21 to $46
$10$20$50$100facility $30professional $27

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
$32.36
Median
$41.69
Typical High
$123.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$26.30
Typical High
$177.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$64.57
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$30.20
Typical High
$48.98
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$60.26
Typical High
$69.18
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$26.92
Typical High
$36.31
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$53.70
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$30.20
Providence
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$38.02
Typical High
$79.43
Providence
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$29.51
Typical High
$53.70
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$81.28
Typical High
$107.15
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$24.55
Typical High
$32.36
United
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$40.74
Typical High
$40.74
United
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$11.48
Typical High
$32.36

Where Oregon 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.

Oregon· 19th of 51

$26.92

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.