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Antipsychotic Medicine Testing

Massachusetts 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?

$28.84

Typical negotiated rate. In Massachusetts, October 2026.

Insurers have agreed to pay about $28.84 for this service. The price depends on where it is billed: about $20.42 from a physician practice, and about $47.86 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$20.42$14.45 to $37.15
FacilityA hospital or hospital-owned outpatient department$47.86$34.67 to $2,512

How much rates vary

Facilitymedian $48 · 10th to 90th $18 to $3,802Professionalmedian $20 · 10th to 90th $11 to $93
$10$100$1Kfacility $48professional $20

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
$0.04
Aetna
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
AllWays Health Partners
Setting
Facility
Modifier
None
Typical Low
$18.20
Median
$21.88
Typical High
$36.31
AllWays Health Partners
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$17.38
Typical High
$112.20
BCBS Massachusetts
Setting
Facility
Modifier
None
Typical Low
$15.49
Median
$47.86
Typical High
$69.18
BCBS Massachusetts
Setting
Professional
Modifier
None
Typical Low
$20.42
Median
$20.42
Typical High
$20.42
Cigna
Setting
Professional
Modifier
None
Typical Low
$14.45
Median
$23.44
Typical High
$93.33
Fallon Health
Setting
Facility
Modifier
None
Typical Low
$34.67
Median
$40.74
Typical High
$5,888.44
Fallon Health
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$34.67
Typical High
$40.74
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$12.02
Median
$17.38
Typical High
$112.20
Mass General Brigham
Setting
Facility
Modifier
None
Typical Low
$18.20
Median
$21.88
Typical High
$36.31
Mass General Brigham
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$17.38
Typical High
$112.20
United
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$17.38
Typical High
$60.26
Well Sense
Setting
Facility
Modifier
None
Typical Low
$2,511.89
Median
$3,090.30
Typical High
$4,897.79
Well Sense
Setting
Professional
Modifier
None
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$3,019.95

Where Massachusetts 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.

Massachusetts· 10th of 51

$28.84

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.