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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 October 2026.

How much does Antipsychotic Medicine Testing cost?

$5.62

Typical negotiated rate. In Georgia, October 2026.

Insurers have agreed to pay about $5.62 for this service. The price depends on where it is billed: about $5.62 from a physician practice, and about $24.55 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$5.62$4.47 to $10.72
FacilityA hospital or hospital-owned outpatient department$24.55$15.49 to $32.36

How much rates vary

Facilitymedian $25 · 10th to 90th $11 to $32Professionalmedian $6 · 10th to 90th $4 to $19
$0.1$1$10facility $25professional $6

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$0.02
Median
$0.02
Typical High
$0.03
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
Ambetter
Setting
Professional
Modifier
None (both parts)
Typical Low
$6.17
Median
$6.17
Typical High
$10.96
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$11.22
Median
$22.91
Typical High
$32.36
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$3.55
Median
$5.62
Typical High
$16.60
Cigna
Setting
Facility
Modifier
None
Typical Low
$24.55
Median
$28.84
Typical High
$69.18
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$12.02
Median
$23.44
Typical High
$32.36
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$28.18
Median
$28.18
Typical High
$169.82
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$10.23
Median
$14.45
Typical High
$50.12
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$23.44
Median
$24.55
Typical High
$46.77

Where Georgia sits

The same service costs 17.8 times more in Alaska than in Georgia. 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.

Georgia· 51st of 51

$5.62

AK $100GA $5.62

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.