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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 July 2026.

How much does Antipsychotic Medicine Testing cost?

$0.04

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $0.04 for this service. The price depends on where it is billed: about $15.49 from a physician practice, and about $0.03 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 5 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$15.49$0.03 to $58.88
FacilityA hospital or hospital-owned outpatient department$0.03$0.02 to $21.88

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $43Professionalmedian $15 · 10th to 90th $0 to $110
$0.1$1.0$10.0$100.0facility $0professional $15

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
$0.02
Typical High
$21.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.03
Median
$0.03
Typical High
$21.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$41.69
Typical High
$85.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.47
Median
$0.47
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$23.44
Typical High
$33.11
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$100.00
Typical High
$199.53
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$19.05
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$14.45
Typical High
$23.99

Where Illinois 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.

Illinois $0.04 · 49th 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.