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Prescribed Medicine Blood Level

New Jersey 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?

$22.91

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $22.91 for this service. The price depends on where it is billed: about $20.42 from a physician practice, and about $45.71 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 5 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$20.42$14.79 to $22.91
FacilityA hospital or hospital-owned outpatient department$45.71$35.48 to $123

How much rates vary

Facilitymedian $46 · 10th to 90th $27 to $234Professionalmedian $20 · 10th to 90th $14 to $31
$10.0$100.0$1.0K$10.0Kfacility $46professional $20

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
$28.18
Median
$36.31
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$21.38
Typical High
$30.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$60.26
Typical High
$123.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$17.38
Typical High
$57.54
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$13.49
Typical High
$16.60
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$10,471.29
Typical High
$25,118.86
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$21.88
Typical High
$23.99
United
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$26.92
Typical High
$56.23
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$16.22
Typical High
$26.92

Where New Jersey 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.

New Jersey $22.91 · 34th 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.