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Prescribed Medicine Blood Level

Idaho 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 October 2026.

How much does Prescribed Medicine Blood Level cost?

$40.74

Typical negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $40.74 for this service. The price depends on where it is billed: about $28.18 from a physician practice, and about $51.29 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$28.18$25.70 to $45.71
FacilityA hospital or hospital-owned outpatient department$51.29$28.84 to $67.61

How much rates vary

Facilitymedian $51 · 10th to 90th $27 to $98Professionalmedian $28 · 10th to 90th $11 to $52
$20$50$100facility $51professional $28

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Aetna
Setting
Professional
Modifier
None
Typical Low
$25.70
Median
$52.48
Typical High
$52.48
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$26.92
Median
$52.48
Typical High
$97.72
BCBS Idaho
Setting
Professional
Modifier
None
Typical Low
$22.91
Median
$26.92
Typical High
$29.51
Cigna
Setting
Facility
Modifier
None
Typical Low
$21.38
Median
$56.23
Typical High
$104.71
Cigna
Setting
Professional
Modifier
None
Typical Low
$11.75
Median
$20.42
Typical High
$38.90
Moda Health
Setting
Facility
Modifier
None
Typical Low
$25.70
Median
$26.92
Typical High
$54.95
Moda Health
Setting
Professional
Modifier
None
Typical Low
$26.92
Median
$32.36
Typical High
$52.48
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$26.92
Median
$40.74
Typical High
$51.29
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$26.92
Median
$45.71
Typical High
$51.29
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$40.74
Median
$61.66
Typical High
$97.72
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$21.88
Median
$22.91
Typical High
$22.91
Select Health
Setting
Facility
Modifier
None
Typical Low
$26.92
Median
$26.92
Typical High
$35.48
Select Health
Setting
Professional
Modifier
None
Typical Low
$26.92
Median
$26.92
Typical High
$38.90
United
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$11.48
Typical High
$43.65

Where Idaho sits

The same service costs 4.0 times more in Alaska than in Alabama. 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.

Idaho· 2nd of 51

$40.74

AK $61.66AL $15.49

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.