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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 October 2026.

How much does Blood Test To Monitor A Specific Medication Level cost?

$15.85

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $15.85 for this service. The price depends on where it is billed: about $15.85 from a physician practice, and about $20.89 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$15.85$9.55 to $27.54
FacilityA hospital or hospital-owned outpatient department$20.89$15.49 to $26.30

How much rates vary

Facilitymedian $21 · 10th to 90th $13 to $51Professionalmedian $16 · 10th to 90th $9 to $32
$10$20$50$100facility $21professional $16

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$9.55
Median
$9.55
Typical High
$15.49
Aetna
Setting
Professional
Modifier
None
Typical Low
$9.12
Median
$9.12
Typical High
$12.59
Cigna
Setting
Facility
Modifier
None
Typical Low
$26.30
Median
$26.30
Typical High
$26.30
Cigna
Setting
Professional
Modifier
None
Typical Low
$15.85
Median
$26.30
Typical High
$32.36
Medica
Setting
Facility
Modifier
None
Typical Low
$12.88
Median
$15.49
Typical High
$74.13
Medica
Setting
Professional
Modifier
None
Typical Low
$8.13
Median
$12.30
Typical High
$19.05
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$22.39
Median
$32.36
Typical High
$37.15
United
Setting
Professional
Modifier
None
Typical Low
$5.75
Median
$9.55
Typical High
$16.22
Wellmark
Setting
Professional
Modifier
None
Typical Low
$13.49
Median
$13.49
Typical High
$13.49

Where South Dakota sits

The same service costs 3.9 times more in Kansas than in New Jersey. 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.

South Dakota· 16th of 51

$15.85

KS $37.15NJ $9.55

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.