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Prescribed Medicine Blood Level

Vermont 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?

$30.20

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $30.20 for this service. The price depends on where it is billed: about $30.20 from a physician practice, and about $45.71 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 5 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$30.20$30.20 to $30.20
FacilityA hospital or hospital-owned outpatient department$45.71$26.92 to $170

How much rates vary

Facilitymedian $46 · 10th to 90th $10 to $214Professionalmedian $30 · 10th to 90th $16 to $32
$10$20$50$100$200facility $46professional $30

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$213.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$28.84
Typical High
$33.11
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$17.78
United
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$9.55
Typical High
$9.55
United
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$24.55
Typical High
$58.88

Where Vermont 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.

Vermont· 12th of 51

$30.20

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.