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Prescribed Medicine Blood Level

North Carolina 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?

$19.05

Typical negotiated rate. In North Carolina, October 2026.

Insurers have agreed to pay about $19.05 for this service. The price depends on where it is billed: about $16.22 from a physician practice, and about $21.88 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$16.22$13.49 to $21.88
FacilityA hospital or hospital-owned outpatient department$21.88$21.88 to $57.54

How much rates vary

Facilitymedian $22 · 10th to 90th $19 to $123Professionalmedian $16 · 10th to 90th $13 to $27
$20$50$100facility $22professional $16

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
$21.88
Median
$21.88
Typical High
$21.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$19.05
Median
$21.88
Typical High
$21.88
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$10.96
Median
$10.96
Typical High
$10.96
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$4.37
Median
$4.37
Typical High
$4.37
BCBS North Carolina
Setting
Facility
Modifier
None
Typical Low
$48.98
Median
$60.26
Typical High
$87.10
BCBS North Carolina
Setting
Professional
Modifier
None
Typical Low
$12.30
Median
$12.30
Typical High
$19.05
Cigna
Setting
Facility
Modifier
None
Typical Low
$18.62
Median
$58.88
Typical High
$123.03
Cigna
Setting
Professional
Modifier
None
Typical Low
$12.59
Median
$13.80
Typical High
$35.48
Medcost
Setting
Professional
Modifier
None
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
Medcost
Setting
Facility
Modifier
None
Typical Low
$16.22
Median
$21.88
Typical High
$26.92
Medcost
Setting
Professional
Modifier
None
Typical Low
$17.78
Median
$26.92
Typical High
$26.92
United
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$13.49
Typical High
$26.92

Where North Carolina 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.

North Carolina· 47th of 51

$19.05

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.