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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 July 2026.

How much does Antipsychotic Medicine Testing cost?

$19.05

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $19.05 for this service. The price depends on where it is billed: about $14.13 from a physician practice, and about $47.86 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 8 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$14.13$14.13 to $22.39
FacilityA hospital or hospital-owned outpatient department$47.86$38.02 to $61.66

How much rates vary

Facilitymedian $48 · 10th to 90th $15 to $95Professionalmedian $14 · 10th to 90th $14 to $55
$0.1$1.0$10.0$100.0$1.0K$10.0K$100.0Kfacility $48professional $14

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
$0.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$17.38
Typical High
$38.90
BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$47.86
Typical High
$69.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$20.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.56
Median
$0.56
Typical High
$1.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$23.44
Typical High
$93.33
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$4,897.79
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$40.74
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$46.77
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$17.38
Typical High
$38.90
United
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$19.05
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$16.98
Typical High
$74.13

Where Massachusetts 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.

Massachusetts $19.05 · 19th 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.