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Antipsychotic Medicine Testing

Michigan 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?

$11.48

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $11.48 for this service. The price depends on where it is billed: about $11.48 from a physician practice, and about $0.02 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$11.48$11.48 to $14.13
FacilityA hospital or hospital-owned outpatient department$0.02$0.02 to $0.02

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $0Professionalmedian $11 · 10th to 90th $10 to $22
$0.1$1.0$10.0$100.0facility $0professional $11

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
$0.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$104.71
BCBS
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$11.48
Typical High
$11.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$22.39
Typical High
$23.44
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$24.55
Typical High
$27.54
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$12.30
Typical High
$27.54
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$22.39
United
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$10.00
Typical High
$15.49
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$13.18
Typical High
$21.88

Where Michigan 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.

Michigan $11.48 · 36th 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.