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Prescribed Medicine Blood Level

South 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 South Carolina, July 2026.

Insurers have agreed to pay about $21.88 for this service. The price depends on where it is billed: about $21.38 from a physician practice, and about $66.07 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$21.38$21.38 to $21.88
FacilityA hospital or hospital-owned outpatient department$66.07$21.38 to $87.10

How much rates vary

Facilitymedian $66 · 10th to 90th $21 to $129Professionalmedian $21 · 10th to 90th $16 to $28
$10.0$20.0$50.0$100.0facility $66professional $21

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
$21.38
Median
$66.07
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$23.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$24.55
Typical High
$37.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$89.13
Typical High
$154.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$13.18
Typical High
$33.11
Medcost
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$24.55
Typical High
$36.31
United
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$26.92
Typical High
$32.36
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$16.22
Typical High
$32.36

Where South 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.

South Carolina $21.88 · 42nd 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.