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Antipsychotic Medicine Testing

Illinois 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?

$23.44

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $23.44 for this service. The price depends on where it is billed: about $17.78 from a physician practice, and about $33.88 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$17.78$13.18 to $26.92
FacilityA hospital or hospital-owned outpatient department$33.88$29.51 to $48.98

How much rates vary

Facilitymedian $34 · 10th to 90th $0 to $85Professionalmedian $18 · 10th to 90th $10 to $87
$0.1$1$10$100facility $34professional $18

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
$0.04
Typical High
$44.67
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$21.88
Median
$44.67
Typical High
$134.90
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$28.84
Median
$38.02
Typical High
$83.18
Cigna
Setting
Facility
Modifier
None
Typical Low
$48.98
Median
$79.43
Typical High
$239.88
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$12.59
Median
$23.44
Typical High
$28.18
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$5.01
Median
$5.01
Typical High
$5.01
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$10.96
Median
$10.96
Typical High
$12.02
Hally Health
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$91.20
Typical High
$154.88
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$10.47
Median
$14.45
Typical High
$23.99

Where Illinois 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.

Illinois· 15th of 51

$23.44

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.