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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 October 2026.

How much does Antipsychotic Medicine Testing cost?

$14.45

Typical negotiated rate. In North Carolina, October 2026.

Insurers have agreed to pay about $14.45 for this service. The price depends on where it is billed: about $13.49 from a physician practice, and about $42.66 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$13.49$11.22 to $19.50
FacilityA hospital or hospital-owned outpatient department$42.66$27.54 to $42.66

How much rates vary

Facilitymedian $43 · 10th to 90th $20 to $43Professionalmedian $13 · 10th to 90th $10 to $26
$10$20$50facility $43professional $13

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
BCBS North Carolina
Setting
Facility
Modifier
None
Typical Low
$24.55
Median
$42.66
Typical High
$42.66
BCBS North Carolina
Setting
Professional
Modifier
None (both parts)
Typical Low
$18.20
Median
$18.20
Typical High
$18.20
Cigna
Setting
Facility
Modifier
None
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$11.22
Median
$22.91
Typical High
$32.36
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$5.01
Median
$5.01
Typical High
$5.01
Medcost
Setting
Facility
Modifier
None
Typical Low
$19.50
Median
$19.50
Typical High
$19.95
Medcost
Setting
Professional
Modifier
None (both parts)
Typical Low
$19.50
Median
$19.50
Typical High
$26.92
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$9.33
Median
$11.75
Typical High
$23.44

Where North Carolina 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.

North Carolina· 33rd of 51

$14.45

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.