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Blood Level Test For A Biologic Medicine

Vermont rates for HCPCS 80230

Measures how much of a particular biologic medicine, a laboratory-made protein drug given by infusion or injection, is present in a patient's blood. The result shows the care team whether the dose is landing in the range where the drug works, so it can be raised, lowered or given at different intervals. It checks a prescribed treatment and is not a screen for drug or substance use.

Rates data updated October 2026.

How much does Blood Level Test For A Biologic Medicine cost?

$64.57

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $64.57 for this service. The price depends on where it is billed: about $44.67 from a physician practice, and about $204 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$44.67$22.91 to $47.86
FacilityA hospital or hospital-owned outpatient department$204$200 to $490

How much rates vary

Facilitymedian $204 · 10th to 90th $195 to $490Professionalmedian $45 · 10th to 90th $23 to $55
$20$50$100$200$500facility $204professional $45

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$199.53
Median
$199.53
Typical High
$489.78
Aetna
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
BCBS
Setting
Facility
Modifier
None
Typical Low
$194.98
Median
$204.17
Typical High
$245.47
BCBS
Setting
Professional
Modifier
None
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
Cigna
Setting
Facility
Modifier
None
Typical Low
$64.57
Median
$64.57
Typical High
$234.42
Cigna
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$44.67
Typical High
$54.95
MVP Health Care
Setting
Facility
Modifier
None
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
United
Setting
Professional
Modifier
None
Typical Low
$17.38
Median
$22.91
Typical High
$58.88

Where Vermont sits

The same service costs 5.4 times more in Alaska than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Vermont· 2nd of 51

$64.57

AK $87.10AL $16.22

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.