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Prescribed Medicine Blood Level

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $22.91 for this service. The price depends on where it is billed: about $20.42 from a physician practice, and about $28.84 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$20.42$17.38 to $22.91
FacilityA hospital or hospital-owned outpatient department$28.84$26.92 to $61.66

How much rates vary

Facilitymedian $29 · 10th to 90th $20 to $117Professionalmedian $20 · 10th to 90th $11 to $51
$10$100$1K$10Kfacility $29professional $20

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
$22.91
Median
$60.26
Typical High
$107.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$46.77
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$107.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$18.20
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$83.18
Typical High
$112.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$63.10
Typical High
$123.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$14.13
Typical High
$30.20
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$32.36
Typical High
$39.81
Medcost
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$26.92
Medcost
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$57.54
Sentara
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$32.36
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$32.36
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$26.92
Typical High
$32.36
United
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$12.30
Typical High
$18.62

Where Virginia 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.

Virginia· 36th 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.