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Antipsychotic Medicine Testing

Georgia 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?

$11.22

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $11.22 for this service. The price depends on where it is billed: about $5.62 from a physician practice, and about $21.38 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 6 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$5.62$5.62 to $14.45
FacilityA hospital or hospital-owned outpatient department$21.38$11.22 to $32.36

How much rates vary

Facilitymedian $21 · 10th to 90th $6 to $32Professionalmedian $6 · 10th to 90th $6 to $23
$0.1$1.0$10.0$100.0facility $21professional $6

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
$0.03
Typical High
$42.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$19.50
Typical High
$19.50
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.17
Typical High
$11.48
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$22.39
Typical High
$32.36
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$19.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.17
Median
$28.18
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$18.62
Typical High
$32.36
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$169.82
United
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$13.18
Typical High
$23.99
United
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$13.18
Typical High
$26.92

Where Georgia 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.

Georgia $11.22 · 38th 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.