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Prescribed Medicine Blood Level

West Virginia 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?

$22.39

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $22.39 for this service. The price depends on where it is billed: about $21.88 from a physician practice, and about $33.88 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$21.88$20.42 to $22.39
FacilityA hospital or hospital-owned outpatient department$33.88$22.39 to $40.74

How much rates vary

Facilitymedian $34 · 10th to 90th $22 to $41Professionalmedian $22 · 10th to 90th $12 to $23
$10.0$20.0$50.0$100.0facility $34professional $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
$22.39
Median
$33.88
Typical High
$40.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$21.88
Typical High
$22.91
CareSource
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
CareSource
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$32.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$39.81
Typical High
$81.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$38.90
Typical High
$131.83
United
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$30.90
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$12.30
Typical High
$26.92

Where West Virginia 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.

West Virginia $22.39 · 38th 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.