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Blood Test To Monitor A Specific Medication Level

Connecticut rates for HCPCS 80202

This blood test measures the level of a specific medication in the body. It is used to make sure the amount of the drug in a person's system is within a safe and effective range.

Rates data updated July 2026.

How much does Blood Test To Monitor A Specific Medication Level cost?

$13.49

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $13.49 for this service. The price depends on where it is billed: about $12.30 from a physician practice, and about $23.99 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$12.30$12.02 to $12.88
FacilityA hospital or hospital-owned outpatient department$23.99$18.20 to $37.15

How much rates vary

Facilitymedian $24 · 10th to 90th $13 to $89Professionalmedian $12 · 10th to 90th $8 to $19
$10$20$50$100facility $24professional $12

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
$13.49
Median
$24.55
Typical High
$91.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$12.30
Typical High
$14.45
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$21.38
Typical High
$36.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$9.33
Typical High
$20.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$22.39
Typical High
$53.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$15.49
Typical High
$20.89
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$13.49
Typical High
$19.95
Health New England
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
United
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$13.49
United
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$12.59
Typical High
$23.99

Where Connecticut sits

The same service costs 7.4 times more in West Virginia than in Kentucky. 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.

Connecticut· 46th of 51

$13.49

WV $93.33KY $12.59

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.