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Blood Test To Monitor A Specific Medication Level

Massachusetts 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?

$19.05

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $19.05 for this service. The price depends on where it is billed: about $13.49 from a physician practice, and about $35.48 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 9 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$13.49$12.88 to $20.42
FacilityA hospital or hospital-owned outpatient department$35.48$20.42 to $66.07

How much rates vary

Facilitymedian $35 · 10th to 90th $13 to $151Professionalmedian $13 · 10th to 90th $11 to $41
$10.0$100.0$1.0K$10.0Kfacility $35professional $13

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
$39.81
Typical High
$165.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.88
Typical High
$60.26
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$19.05
Typical High
$109.65
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$13.49
Typical High
$33.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$33.11
Typical High
$52.48
BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$17.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$21.38
Typical High
$35.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$15.85
Typical High
$35.48
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$87.10
Typical High
$7,079.46
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$22.91
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$40.74
Health New England
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$17.78
Typical High
$81.28
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$19.05
Typical High
$109.65
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$13.49
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$13.49
Typical High
$19.95
United
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$12.30
Typical High
$34.67

Where Massachusetts 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.

Massachusetts $19.05 · 23rd 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.