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Antipsychotic Medicine Testing

New York 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 New York, July 2026.

Insurers have agreed to pay about $14.45 for this service. The price depends on where it is billed: about $12.30 from a physician practice, and about $21.38 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 9 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$12.30$5.62 to $19.50
FacilityA hospital or hospital-owned outpatient department$21.38$19.50 to $70.79

How much rates vary

Facilitymedian $21 · 10th to 90th $0 to $195Professionalmedian $12 · 10th to 90th $6 to $23
$0.1$1.0$10.0$100.0$1.0K$10.0K$100.0Kfacility $21professional $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. 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
$19.50
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$19.50
Typical High
$19.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$18.62
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$14.13
Typical High
$14.13
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$14.13
Typical High
$14.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$51.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$26.30
Typical High
$114.82
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$21.38
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$23.44
Typical High
$25.70
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$257.04
Typical High
$53,703.18
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
United
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$21.38
Typical High
$28.84
United
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$16.98
Typical High
$40.74
Univera
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$26.30
Typical High
$26.30
Univera
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$23.44
Typical High
$27.54

Where New York 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.

New York $14.45 · 26th 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.