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Measurement Of A Medicine Level In Blood

Texas rates for HCPCS 80285

Measures how much of one specific prescribed medicine is present in a blood sample. The level is checked so the dose can be adjusted, since too little may not work while too much can cause harm.

Rates data updated July 2026.

Facilitymedian $50 · 10th–90th $19$1320%5%10th90th$50Professionalmedian $20 · 10th–90th $11$320%10%10th90th$20$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$47.86
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$20.42
Typical High
$32.36
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$16.98
BCBS
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$77.62
Typical High
$141.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$14.79
Typical High
$26.92
Baylor Scott & White
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$38.02
Typical High
$48.98
Christus
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$50.12
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$31.62
Typical High
$46.77
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$26.92
Typical High
$29.51
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$26.92
Typical High
$26.92
Molina
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$22.91
Typical High
$22.91
Providence
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$26.92
Typical High
$69.18
Providence
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$25.70
Typical High
$48.98
United
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$26.92
Typical High
$32.36
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$21.88
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$18.62
Typical High
$36.31