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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 October 2026.

How much does Prescribed Medicine Blood Level cost?

$25.70

Typical negotiated rate. In Michigan, October 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.

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$25.70$19.50 to $27.54
FacilityA hospital or hospital-owned outpatient department$25.70$25.12 to $34.67

How much rates vary

Facilitymedian $26 · 10th to 90th $20 to $49Professionalmedian $26 · 10th to 90th $15 to $32
$10$20$50facility $26professional $26

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
$25.70
Median
$25.70
Typical High
$39.81
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$12.88
Median
$12.88
Typical High
$19.95
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$5.13
Median
$5.13
Typical High
$7.94
Aetna
Setting
Professional
Modifier
None
Typical Low
$22.91
Median
$26.30
Typical High
$27.54
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$11.48
Median
$12.88
Typical High
$13.80
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$4.57
Median
$5.25
Typical High
$5.50
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$20.42
Median
$28.84
Typical High
$50.12
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$19.50
Median
$20.42
Typical High
$22.39
Cigna
Setting
Professional
Modifier
None
Typical Low
$12.30
Median
$15.14
Typical High
$38.90
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$25.70
Median
$25.70
Typical High
$70.79
Health Alliance Plan
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$12.88
Median
$12.88
Typical High
$19.95
Health Alliance Plan
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$5.13
Median
$5.13
Typical High
$7.94
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$25.70
Median
$26.30
Typical High
$33.88
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$5.13
Median
$5.13
Typical High
$5.13
Priority Health
Setting
Professional
Modifier
None
Typical Low
$12.30
Median
$15.14
Typical High
$33.11
United
Setting
Facility
Modifier
None
Typical Low
$16.22
Median
$24.55
Typical High
$32.36
United
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$16.22
Typical High
$26.92

Where Michigan 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.

Michigan· 24th of 51

$25.70

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.