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Blood Test To Monitor A Specific Medication Level

South Dakota 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 South Dakota, July 2026.

Insurers have agreed to pay about $19.50 for this service. The price depends on where it is billed: about $15.85 from a physician practice, and about $100 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 7 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$15.85$13.49 to $26.30
FacilityA hospital or hospital-owned outpatient department$100$26.30 to $100

How much rates vary

Facilitymedian $100 · 10th to 90th $15 to $102Professionalmedian $16 · 10th to 90th $10 to $32
$10.0$20.0$50.0$100.0$200.0facility $100professional $16

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
$67.61
Median
$100.00
Typical High
$102.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$13.49
Typical High
$15.85
Avera
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$13.80
Typical High
$20.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$26.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$26.30
Typical High
$32.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$20.89
Typical High
$74.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$9.55
Typical High
$19.05
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$32.36
Typical High
$37.15
United
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
United
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$12.30
Typical High
$19.05
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$13.49

Where South Dakota 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.

South Dakota $19.50 · 19th 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.