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Antipsychotic Medicine Testing

Colorado rates for HCPCS 80342

A laboratory test that looks for antipsychotic medicines in a urine, blood or saliva sample and names exactly which ones are present. Unlike a quick screening cup that only shows positive or negative, this uses laboratory instruments to identify the specific substance. It is used to confirm a prescribed medicine is being taken, or to pick up one that was not reported.

Rates data updated July 2026.

How much does Antipsychotic Medicine Testing cost?

$10.23

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $10.23 for this service. The price depends on where it is billed: about $10.72 from a physician practice, and about $0.05 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 7 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$10.72$10.23 to $14.45
FacilityA hospital or hospital-owned outpatient department$0.05$0.03 to $0.06

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $0Professionalmedian $11 · 10th to 90th $6 to $18
$0.1$1.0$10.0$100.0$1.0Kfacility $0professional $11

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
$0.02
Median
$0.05
Typical High
$0.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.07
Typical High
$0.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$10.72
Typical High
$18.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.48
Median
$0.48
Typical High
$38.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$12.88
Typical High
$25.12
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$26.30
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Select Health
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$9.12
Typical High
$9.12
United
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$10.72
Typical High
$25.12
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.23
Typical High
$22.39

Where Colorado sits

The same service costs 2344.2 times more in Alaska than in Pennsylvania. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Colorado $10.23 · 44th of 51
AK $70.79PA $0.03

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.