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Blood Test To Monitor A Specific Medication Level

North Carolina 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?

$22.39

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $22.39 for this service. The price depends on where it is billed: about $10.72 from a physician practice, and about $67.61 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 8 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$10.72 to $13.49
FacilityA hospital or hospital-owned outpatient department$67.61$15.14 to $126

How much rates vary

Facilitymedian $68 · 10th to 90th $11 to $141Professionalmedian $11 · 10th to 90th $9 to $19
$10$20$50$100$200$500facility $68professional $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
$11.75
Median
$69.18
Typical High
$144.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$18.62
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$100.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$30.90
Typical High
$50.12
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$9.55
Typical High
$12.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$26.30
Typical High
$61.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$9.33
Typical High
$20.89
Medcost
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$26.30
Typical High
$46.77
Medcost
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$11.75
Typical High
$26.30
Medcost
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$15.14
Typical High
$16.60
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$3,630.78
United
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$16.98
Typical High
$23.44
United
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$9.33
Typical High
$19.05
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65

Where North Carolina 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.

North Carolina· 14th of 51

$22.39

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.