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Prescribed Medicine Blood Level

Utah 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 Utah, July 2026.

Insurers have agreed to pay about $22.91 for this service. The price depends on where it is billed: about $22.39 from a physician practice, and about $120 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$22.39$20.89 to $25.70
FacilityA hospital or hospital-owned outpatient department$120$30.90 to $120

How much rates vary

Facilitymedian $120 · 10th to 90th $22 to $155Professionalmedian $22 · 10th to 90th $19 to $31
$10$20$50$100facility $120professional $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
$22.39
Median
$120.23
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$22.39
Typical High
$30.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$28.18
Typical High
$74.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$12.88
Typical High
$38.90
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$109.65
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$22.91
Typical High
$24.55
Select Health
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$19.05
Select Health
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$26.92
Typical High
$35.48
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$23.99
Typical High
$40.74
United
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$17.78
United
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$11.48
Typical High
$24.55

Where Utah 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.

Utah· 35th 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.