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Blood Test To Monitor A Specific Medication Level

Montana 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?

$19.50

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $19.50 for this service. The price depends on where it is billed: about $18.20 from a physician practice, and about $21.88 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$18.20$15.49 to $87.10
FacilityA hospital or hospital-owned outpatient department$21.88$17.78 to $46.77

How much rates vary

Facilitymedian $22 · 10th to 90th $13 to $229Professionalmedian $18 · 10th to 90th $13 to $89
$10$100$1K$10K$100Kfacility $22professional $18

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
$120.23
Typical High
$331.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$87.10
Typical High
$89.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$46.77
Typical High
$81,283.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$18.20
Typical High
$18.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$22.91
Typical High
$77.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$15.85
Typical High
$19.50
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$19.05
Typical High
$41.69
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$19.05
Typical High
$41.69
Providence
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$26.30
Typical High
$77.62
Providence
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$19.50
United
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$13.49
United
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$7.76
Typical High
$19.05

Where Montana 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.

Montana· 20th of 51

$19.50

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.