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Prescribed Medicine Blood Level

Illinois 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?

$20.89

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $20.89 for this service. The price depends on where it is billed: about $20.89 from a physician practice, and about $50.12 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$20.89$18.62 to $25.70
FacilityA hospital or hospital-owned outpatient department$50.12$32.36 to $105

How much rates vary

Facilitymedian $50 · 10th to 90th $28 to $219Professionalmedian $21 · 10th to 90th $13 to $43
$5$10$20$50$100$200facility $50professional $21

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
$22.39
Median
$43.65
Typical High
$81.28
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$11.22
Median
$21.38
Typical High
$40.74
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$4.47
Median
$8.51
Typical High
$16.60
Aetna
Setting
Professional
Modifier
None
Typical Low
$19.95
Median
$22.39
Typical High
$24.55
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$11.22
Median
$11.22
Typical High
$12.30
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$4.47
Median
$4.47
Typical High
$4.90
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$32.36
Median
$38.90
Typical High
$346.74
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$18.62
Median
$20.89
Typical High
$20.89
Cigna
Setting
Facility
Modifier
None
Typical Low
$30.20
Median
$64.57
Typical High
$125.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$30.90
Typical High
$41.69
Hally Health
Setting
Professional
Modifier
None
Typical Low
$28.18
Median
$43.65
Typical High
$194.98
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
Molina
Setting
Professional
Modifier
None
Typical Low
$19.05
Median
$19.05
Typical High
$33.88
United
Setting
Facility
Modifier
None
Typical Low
$26.92
Median
$32.36
Typical High
$33.88
United
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$16.22
Typical High
$28.84

Where Illinois 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.

Illinois· 37th of 51

$20.89

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.