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Prescribed Medicine Blood Level

Rhode Island 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?

$20.42

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $20.42 for this service. The price depends on where it is billed: about $19.95 from a physician practice, and about $34.67 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 4 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$19.95$19.95 to $20.42
FacilityA hospital or hospital-owned outpatient department$34.67$30.90 to $123

How much rates vary

Facilitymedian $35 · 10th to 90th $27 to $123Professionalmedian $20 · 10th to 90th $14 to $27
$10.0$20.0$50.0$100.0facility $35professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$123.03
Typical High
$123.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$19.95
Typical High
$19.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$30.90
Typical High
$34.67
BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$20.42
Typical High
$20.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$15.14
Typical High
$38.90
United
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$38.02
United
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$16.22
Typical High
$38.90

Where Rhode Island 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.

Rhode Island $20.42 · 49th 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.