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Blood Test To Monitor A Specific Medication Level

Illinois 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?

$21.88

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $21.88 for this service. The price depends on where it is billed: about $11.22 from a physician practice, and about $40.74 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$9.33 to $15.85
FacilityA hospital or hospital-owned outpatient department$40.74$21.38 to $178

How much rates vary

Facilitymedian $41 · 10th to 90th $13 to $302Professionalmedian $11 · 10th to 90th $3 to $28
$5$10$20$50$100$200$500facility $41professional $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
$13.49
Median
$43.65
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$13.49
Typical High
$27.54
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$9.12
Typical High
$9.12
BCBS
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$45.71
Typical High
$141.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$9.33
Typical High
$10.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$31.62
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$15.85
Typical High
$24.55
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$26.92
Typical High
$177.83
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$17.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$7.41
United
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$13.49
Typical High
$26.92
United
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$10.23
Typical High
$13.49

Where Illinois 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.

Illinois· 16th of 51

$21.88

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.