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Prescribed Medicine Blood Level

Kentucky 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?

$21.38

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $21.38 for this service. The price depends on where it is billed: about $20.89 from a physician practice, and about $26.92 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$20.89$10.96 to $22.91
FacilityA hospital or hospital-owned outpatient department$26.92$22.39 to $39.81

How much rates vary

Facilitymedian $27 · 10th to 90th $22 to $65Professionalmedian $21 · 10th to 90th $11 to $27
$10.0$20.0$50.0$100.0facility $27professional $21

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
$22.39
Typical High
$64.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$22.39
Typical High
$26.92
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$26.92
Typical High
$28.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$11.48
CareSource
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$32.36
Typical High
$38.02
CareSource
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$33.88
Typical High
$53.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$39.81
Typical High
$57.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$81.28
Typical High
$131.83
United
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$26.92
Typical High
$26.92
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$16.22
Typical High
$26.92

Where Kentucky 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.

Kentucky $21.38 · 45th 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.