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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 July 2026.

How much does Prescribed Medicine Blood Level cost?

$28.18

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $28.18 for this service. The price depends on where it is billed: about $26.92 from a physician practice, and about $40.74 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 7 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$26.92$25.70 to $52.48
FacilityA hospital or hospital-owned outpatient department$40.74$26.92 to $67.61

How much rates vary

Facilitymedian $41 · 10th to 90th $27 to $95Professionalmedian $27 · 10th to 90th $19 to $52
$20.0$50.0$100.0facility $41professional $27

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
$48.98
Median
$70.79
Typical High
$70.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$30.90
Typical High
$52.48
BCBS
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$52.48
Typical High
$97.72
BCBS
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$26.30
Typical High
$27.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$56.23
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$20.42
Typical High
$38.90
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$35.48
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$32.36
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$53.70
Typical High
$97.72
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$22.91
Typical High
$28.18
Select Health
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$35.48
Select Health
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$26.92

Where Idaho 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.

Idaho $28.18 · 14th 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.