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Antipsychotic Medicine Testing

Iowa 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?

$22.39

Typical negotiated rate. In Iowa, October 2026.

Insurers have agreed to pay about $22.39 for this service. Most negotiated rates run $13.18 to $38.90.

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.

How much rates vary

Facilitymedian $35 · 10th to 90th $0 to $112Professionalmedian $22 · 10th to 90th $13 to $54
$0.1$1$10$100facility $35professional $22

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
$0.03
Typical High
$0.04
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$15.14
Median
$30.90
Typical High
$38.90
Hally Health
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$74.13
Typical High
$151.36
Medica
Setting
Facility
Modifier
None
Typical Low
$16.98
Median
$43.65
Typical High
$112.20
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$13.18
Median
$23.99
Typical High
$54.95
Midlands
Setting
Professional
Modifier
None
Typical Low
$17.38
Median
$17.38
Typical High
$36.31
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$12.88
Median
$13.18
Typical High
$28.84
Wellmark
Setting
Professional
Modifier
None (both parts)
Typical Low
$13.18
Median
$16.60
Typical High
$16.60
2 more rates 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
Cigna
Setting
Facility
Modifier
TC · Technical part
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
Midlands
Setting
Facility
Modifier
TC · Technical part
Typical Low
$51.29
Median
$51.29
Typical High
$51.29

Where Iowa 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.

Iowa· 16th of 51

$22.39

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.