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Blood Test To Monitor A Specific Medication Level

Tennessee 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?

$12.88

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $12.88 for this service. The price depends on where it is billed: about $10.47 from a physician practice, and about $79.43 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$10.47$10.23 to $12.88
FacilityA hospital or hospital-owned outpatient department$79.43$18.62 to $117

How much rates vary

Facilitymedian $79 · 10th to 90th $11 to $170Professionalmedian $10 · 10th to 90th $10 to $19
$5$10$20$50$100facility $79professional $10

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
$10.72
Median
$79.43
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$15.85
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$6.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$18.62
Typical High
$18.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$28.84
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$10.47
Typical High
$20.42
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$109.65
Typical High
$109.65
United
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$13.49
Typical High
$13.49
United
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$10.23
Typical High
$19.05

Where Tennessee 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.

Tennessee· 49th of 51

$12.88

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.