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Prescribed Medicine Blood Level

South Dakota 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?

$44.67

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $44.67 for this service. The price depends on where it is billed: about $37.15 from a physician practice, and about $52.48 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$37.15$21.38 to $63.10
FacilityA hospital or hospital-owned outpatient department$52.48$50.12 to $52.48

How much rates vary

Facilitymedian $52 · 10th to 90th $29 to $52Professionalmedian $37 · 10th to 90th $18 to $66
$20$50$100facility $52professional $37

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
$19.05
Median
$30.90
Typical High
$30.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$21.38
Typical High
$25.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$52.48
Typical High
$66.07
Medica
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$30.90
Typical High
$128.82
Medica
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$32.36
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$63.10
Typical High
$74.13
United
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$32.36
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$16.22
Typical High
$35.48
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$26.92

Where South Dakota 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.

South Dakota· 1st of 51

$44.67

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.