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Blood Test To Monitor A Specific Medication Level

Virginia 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?

$14.45

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $14.45 for this service. The price depends on where it is billed: about $10.23 from a physician practice, and about $33.11 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$10.23$10.23 to $12.88
FacilityA hospital or hospital-owned outpatient department$33.11$14.45 to $102

How much rates vary

Facilitymedian $33 · 10th to 90th $13 to $191Professionalmedian $10 · 10th to 90th $7 to $35
$10$100$1K$10Kfacility $33professional $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
$15.85
Median
$64.57
Typical High
$199.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$10.47
Typical High
$31.62
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$53.70
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$10.47
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$63.10
Typical High
$85.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$34.67
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$10.00
Typical High
$23.44
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$16.22
Typical High
$19.95
Medcost
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$22.91
Typical High
$26.30
Medcost
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$12.88
Medcost
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$13.49
Typical High
$28.18
Sentara
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$21.88
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$22.91
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$13.49
Typical High
$23.44
United
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$8.13
Typical High
$14.13

Where Virginia 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.

Virginia· 41st of 51

$14.45

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.