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Zonisamide Drug Level Blood Test

Virginia 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?

$12.59

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $12.59 for this service. The price depends on where it is billed: about $10.00 from a physician practice, and about $18.20 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$10.00$9.77 to $12.59
FacilityA hospital or hospital-owned outpatient department$18.20$13.18 to $32.36

How much rates vary

Facilitymedian $18 · 10th to 90th $13 to $79Professionalmedian $10 · 10th to 90th $7 to $25
$10$100$1K$10Kfacility $18professional $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
$12.59
Median
$31.62
Typical High
$79.43
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.23
Typical High
$18.62
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$52.48
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$6.61
Typical High
$10.23
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$61.66
Typical High
$81.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$31.62
Typical High
$67.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$8.91
Typical High
$19.05
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$15.85
Typical High
$19.50
Medcost
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$9.55
Typical High
$18.62
Medcost
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$27.54
Sentara
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$18.20
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$18.20
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$13.18
Typical High
$21.88
United
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$7.59
Typical High
$13.49

Where Virginia 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.

Virginia· 38th of 51

$12.59

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.