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Prescribed Medicine Blood Level

Michigan 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?

$25.70

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $25.70 for this service. The price depends on where it is billed: about $25.70 from a physician practice, and about $25.70 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 6 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$25.70$20.42 to $25.70
FacilityA hospital or hospital-owned outpatient department$25.70$25.70 to $32.36

How much rates vary

Facilitymedian $26 · 10th to 90th $25 to $48Professionalmedian $26 · 10th to 90th $19 to $32
$10.0$20.0$50.0$100.0$200.0facility $26professional $26

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
$24.55
Median
$25.70
Typical High
$47.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$25.70
Typical High
$32.36
BCBS
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$29.51
Typical High
$52.48
BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$20.42
Typical High
$20.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$31.62
Typical High
$38.90
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$25.70
Typical High
$64.57
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$26.30
Typical High
$36.31
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$26.92
Typical High
$26.92
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$16.22
Typical High
$26.92

Where Michigan 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.

Michigan $25.70 · 28th 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.