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Blood Test To Monitor A Specific Medication Level

Georgia 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 Georgia, July 2026.

Insurers have agreed to pay about $13.49 for this service. The price depends on where it is billed: about $11.22 from a physician practice, and about $18.20 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 7 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$11.22$8.91 to $14.13
FacilityA hospital or hospital-owned outpatient department$18.20$13.80 to $43.65

How much rates vary

Facilitymedian $18 · 10th to 90th $12 to $148Professionalmedian $11 · 10th to 90th $7 to $26
$10$100$1K$10Kfacility $18professional $11

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
$12.30
Median
$28.18
Typical High
$208.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$11.48
Typical High
$28.18
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$8.32
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$17.38
Typical High
$30.90
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$12.30
Typical High
$24.55
CareSource
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$7.41
CareSource
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$13.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$26.92
Typical High
$41.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$9.55
Typical High
$28.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$19.05
Typical High
$41.69
United
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$12.30
Typical High
$16.22
United
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$8.13
Typical High
$19.05

Where Georgia 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.

Georgia· 44th 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.