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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 July 2026.

How much does Prescribed Medicine Blood Level cost?

$21.88

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $21.88 for this service. The price depends on where it is billed: about $21.88 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 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$21.88$19.50 to $21.88
FacilityA hospital or hospital-owned outpatient department$26.92$21.88 to $91.20

How much rates vary

Facilitymedian $27 · 10th to 90th $16 to $105Professionalmedian $22 · 10th to 90th $13 to $33
$10.0$20.0$50.0$100.0facility $27professional $22

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
$21.88
Median
$28.84
Typical High
$104.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$21.88
Typical High
$35.48
BCBS
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$60.26
Typical High
$61.66
BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$19.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$57.54
Typical High
$123.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$13.80
Typical High
$38.02
Medcost
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
Medcost
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$14.13
Typical High
$26.92
Medcost
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$20.42
United
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$26.92
Typical High
$32.36
United
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$13.49
Typical High
$26.92
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82

Where North Carolina 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.

North Carolina $21.88 · 43rd 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.