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Prescribed Medicine Blood Level

Connecticut rates for HCPCS 80210

A blood test that measures how much of a particular prescribed medicine is present in the bloodstream. The result lets the prescriber confirm the dose is in the range where it works without reaching a level that causes side effects.

Rates data updated July 2026.

How much does Prescribed Medicine Blood Level cost?

$17.78

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $17.78 for this service. The price depends on where it is billed: about $17.78 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 5 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$17.78$17.78 to $19.05
FacilityA hospital or hospital-owned outpatient department$38.90$26.92 to $61.66

How much rates vary

Facilitymedian $39 · 10th to 90th $27 to $110Professionalmedian $18 · 10th to 90th $15 to $30
$10.0$20.0$50.0$100.0$200.0facility $39professional $18

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
$26.92
Median
$36.31
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$17.78
Typical High
$28.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$42.66
Typical High
$72.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$17.78
Typical High
$33.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$81.28
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$28.18
Typical High
$41.69
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$21.88
Typical High
$37.15
United
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
United
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$17.78
Typical High
$47.86

Where Connecticut sits

The same service costs 2.3 times more in North Dakota than in Connecticut. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Connecticut $17.78 · 51st of 51
ND $41.69CT $17.78

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.