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Blood Test To Monitor A Specific Medication Level

Washington, DC 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?

$16.60

Typical negotiated rate. In Washington, DC, July 2026.

Insurers have agreed to pay about $16.60 for this service. The price depends on where it is billed: about $10.23 from a physician practice, and about $51.29 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$10.23$10.23 to $10.23
FacilityA hospital or hospital-owned outpatient department$51.29$24.55 to $132

How much rates vary

Facilitymedian $51 · 10th to 90th $10 to $174Professionalmedian $10 · 10th to 90th $10 to $47
$10.0$20.0$50.0$100.0$200.0facility $51professional $10

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
$10.23
Median
$83.18
Typical High
$173.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$10.23
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$69.18
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$22.91
Typical High
$51.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$15.85
Typical High
$104.71
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$26.30
United
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$16.22
Typical High
$16.22
United
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$8.51
Typical High
$22.91

Where Washington, DC sits

The same service costs 7.4 times more in West Virginia than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Washington, DC $16.60 · 32nd of 51
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.