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Prescribed Medicine Blood Level

Ohio 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?

$26.30

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $26.30 for this service. The price depends on where it is billed: about $21.88 from a physician practice, and about $42.66 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 8 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$12.88 to $26.92
FacilityA hospital or hospital-owned outpatient department$42.66$28.84 to $85.11

How much rates vary

Facilitymedian $43 · 10th to 90th $23 to $95Professionalmedian $22 · 10th to 90th $11 to $65
$10.0$20.0$50.0$100.0$200.0facility $43professional $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
$24.55
Median
$58.88
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$23.99
Typical High
$109.65
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$28.84
Typical High
$50.12
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$13.80
Typical High
$31.62
CareSource
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$30.90
CareSource
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$33.88
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.88
Typical High
$52.48
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$35.48
Typical High
$112.20
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.88
Typical High
$38.02
Molina
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$22.39
Typical High
$33.88
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$28.18
Typical High
$53.70
United
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$26.92
Typical High
$40.74
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$16.22
Typical High
$28.84

Where Ohio 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.

Ohio $26.30 · 26th 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.