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Prescribed Medicine Blood Level

Washington, DC 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?

$20.42

Typical negotiated rate. In Washington, DC, July 2026.

Insurers have agreed to pay about $20.42 for this service. The price depends on where it is billed: about $20.42 from a physician practice, and about $20.42 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 4 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$20.42$20.42 to $20.42
FacilityA hospital or hospital-owned outpatient department$20.42$20.42 to $32.36

How much rates vary

Facilitymedian $20 · 10th to 90th $20 to $46Professionalmedian $20 · 10th to 90th $20 to $68
$1.0$10.0$100.0facility $20professional $20

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$20.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$20.42
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$97.72
Typical High
$208.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$45.71
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.15
Median
$16.98
Typical High
$208.93
United
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$32.36
Typical High
$32.36
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$12.59
Typical High
$33.88

Where Washington, DC 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.

Washington, DC $20.42 · 48th 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.