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Blood Test To Monitor A Specific Medication Level

Kentucky 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?

$12.59

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $12.59 for this service. The price depends on where it is billed: about $10.72 from a physician practice, and about $32.36 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$10.72$6.76 to $13.49
FacilityA hospital or hospital-owned outpatient department$32.36$13.49 to $132

How much rates vary

Facilitymedian $32 · 10th to 90th $11 to $195Professionalmedian $11 · 10th to 90th $7 to $20
$10$20$50$100$200facility $32professional $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
$11.22
Median
$33.88
Typical High
$239.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$11.22
Typical High
$32.36
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$6.76
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$13.49
Typical High
$14.13
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$18.62
CareSource
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$18.20
Typical High
$19.05
CareSource
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$16.22
Typical High
$22.39
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$25.70
Typical High
$31.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$64.57
Typical High
$64.57
United
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$13.49
Typical High
$13.49
United
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$11.48
Typical High
$19.05

Where Kentucky 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.

Kentucky· 51st of 51

$12.59

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.