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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 July 2026.

How much does Prescribed Medicine Blood Level cost?

$27.54

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $27.54 for this service. The price depends on where it is billed: about $22.91 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 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$22.91$20.89 to $36.31
FacilityA hospital or hospital-owned outpatient department$40.74$27.54 to $53.70

How much rates vary

Facilitymedian $41 · 10th to 90th $22 to $71Professionalmedian $23 · 10th to 90th $17 to $55
$5.0$10.0$20.0$50.0$100.0$200.0facility $41professional $23

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
$22.39
Median
$40.74
Typical High
$54.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$22.91
Typical High
$54.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$43.65
Typical High
$346.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$20.89
Typical High
$20.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$58.88
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$29.51
Typical High
$41.69
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$69.18
Typical High
$263.03
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
United
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$26.92
Typical High
$53.70
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$14.79
Typical High
$26.92

Where Illinois 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.

Illinois $27.54 · 15th 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.