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Zonisamide Drug Level Blood Test

New Jersey rates for HCPCS 80203

A blood test that measures the amount of zonisamide, a medication used to treat seizures, present in the bloodstream. Doctors use this test to make sure the dose is high enough to control seizures while staying within a safe range and avoiding side effects. Blood is typically drawn at a consistent time relative to a dose to get an accurate reading.

Rates data updated July 2026.

How much does Zonisamide Drug Level Blood Test cost?

$15.49

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $15.49 for this service. The price depends on where it is billed: about $11.22 from a physician practice, and about $38.90 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$11.22$9.77 to $15.14
FacilityA hospital or hospital-owned outpatient department$38.90$21.88 to $79.43

How much rates vary

Facilitymedian $39 · 10th to 90th $13 to $151Professionalmedian $11 · 10th to 90th $9 to $19
$10$100$1K$10Kfacility $39professional $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
$42.66
Typical High
$93.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$11.22
Typical High
$16.60
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$67.61
Typical High
$2,137.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$28.84
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$10.96
Typical High
$37.15
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$6.61
Typical High
$15.14
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$11.75
Typical High
$14.45
United
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$13.18
Typical High
$26.92
United
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$7.94
Typical High
$18.20

Where New Jersey sits

The same service costs 3.2 times more in South Dakota than in Washington, DC. 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· 20th of 51

$15.49

SD $31.62DC $10.00

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.