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Antipsychotic Medicine Testing

North Carolina 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?

$14.45

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $14.45 for this service. The price depends on where it is billed: about $12.02 from a physician practice, and about $28.18 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$12.02$11.22 to $22.39
FacilityA hospital or hospital-owned outpatient department$28.18$19.05 to $151

How much rates vary

Facilitymedian $28 · 10th to 90th $8 to $151Professionalmedian $12 · 10th to 90th $10 to $29
$0.1$1.0$10.0$100.0facility $28professional $12

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
$38.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
BCBS
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$43.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$22.91
Typical High
$32.36
Medcost
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3.72
Median
$26.92
Typical High
$26.92
United
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$21.38
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$12.02
Typical High
$25.12
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36

Where North Carolina 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.

North Carolina $14.45 · 27th 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.