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Blood Test To Monitor A Specific Medication Level

New Jersey 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?

$17.78

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $17.78 for this service. The price depends on where it is billed: about $10.72 from a physician practice, and about $47.86 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$9.12 to $15.85
FacilityA hospital or hospital-owned outpatient department$47.86$19.05 to $85.11

How much rates vary

Facilitymedian $48 · 10th to 90th $15 to $166Professionalmedian $11 · 10th to 90th $8 to $25
$10$100$1K$10Kfacility $48professional $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
$16.98
Median
$52.48
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$11.22
Typical High
$27.54
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$114.82
Typical High
$1,737.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$29.51
Typical High
$61.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$13.18
Typical High
$38.02
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$6.76
Typical High
$15.14
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$10,471.29
Typical High
$25,118.86
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$10.96
Typical High
$12.02
United
Setting
Facility
Modifier
Global
Typical Low
$6.31
Median
$13.49
Typical High
$27.54
United
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$8.13
Typical High
$14.45

Where New Jersey 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.

New Jersey· 28th of 51

$17.78

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.