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Prescribed Medicine Blood Level

Washington 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?

$26.92

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $26.92 for this service. The price depends on where it is billed: about $25.70 from a physician practice, and about $39.81 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 9 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$25.70$24.55 to $28.84
FacilityA hospital or hospital-owned outpatient department$39.81$26.92 to $61.66

How much rates vary

Facilitymedian $40 · 10th to 90th $26 to $115Professionalmedian $26 · 10th to 90th $13 to $44
$10.0$20.0$50.0$100.0$200.0facility $40professional $26

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
$25.70
Median
$51.29
Typical High
$147.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$26.30
Typical High
$177.83
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$33.88
Typical High
$74.13
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$24.55
Typical High
$26.92
Cigna
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$43.65
Typical High
$67.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$28.84
Typical High
$38.90
Molina
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$38.02
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$47.86
Typical High
$83.18
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$32.36
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$40.74
Typical High
$72.44
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$24.55
Typical High
$26.92
United
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$32.36
Typical High
$32.36
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$26.92
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$14.13
Typical High
$48.98

Where Washington 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.

Washington $26.92 · 22nd 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.