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Antipsychotic Medicine Testing

Kentucky 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?

$21.38

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $21.38 for this service. The price depends on where it is billed: about $21.38 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 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$21.38$14.45 to $21.38
FacilityA hospital or hospital-owned outpatient department$0.03$0.03 to $50.12

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $50Professionalmedian $21 · 10th to 90th $6 to $21
$0.1$1.0$10.0$100.0$1.0K$10.0Kfacility $0professional $21

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$0.03
Median
$0.03
Typical High
$0.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.03
Median
$0.03
Typical High
$0.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$21.38
Typical High
$21.38
CareSource
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$29.51
CareSource
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$25.70
Typical High
$42,657.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$114.82
Typical High
$114.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$44.67
United
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$14.13
Typical High
$23.99
United
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$13.18
Typical High
$25.70

Where Kentucky 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.

Kentucky $21.38 · 17th 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.