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Prescribed Medicine Blood Level

Montana 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?

$38.90

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $38.90 for this service. The price depends on where it is billed: about $36.31 from a physician practice, and about $45.71 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$36.31$24.55 to $38.90
FacilityA hospital or hospital-owned outpatient department$45.71$38.90 to $46.77

How much rates vary

Facilitymedian $46 · 10th to 90th $34 to $52Professionalmedian $36 · 10th to 90th $11 to $49
$20$50facility $46professional $36

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
Professional
Modifier
None
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Cigna
Setting
Facility
Modifier
None
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
Cigna
Setting
Professional
Modifier
None
Typical Low
$31.62
Median
$38.90
Typical High
$38.90
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$30.90
Median
$45.71
Typical High
$53.70
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$36.31
Median
$40.74
Typical High
$48.98
Providence
Setting
Facility
Modifier
None
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
Providence
Setting
Professional
Modifier
None
Typical Low
$24.55
Median
$24.55
Typical High
$38.90
United
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$11.48
Typical High
$26.92

Where Montana 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.

Montana· 3rd of 51

$38.90

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.