go back

Antipsychotic Medicine Testing

Ohio 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?

$6.17

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $6.17 for this service. The price depends on where it is billed: about $7.59 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 7 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$7.59$5.62 to $13.18
FacilityA hospital or hospital-owned outpatient department$0.02$0.02 to $0.03

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $0Professionalmedian $8 · 10th to 90th $6 to $21
$0.1$1.0$10.0$100.0facility $0professional $8

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
$0.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.04
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$7.24
Typical High
$19.05
CareSource
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.35
Median
$4.17
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$13.18
Typical High
$45.71
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$0.35
Median
$1.51
Typical High
$4.17
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$45.71
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$14.45
Typical High
$23.99
United
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$13.18
Typical High
$25.70

Where Ohio 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.

Ohio $6.17 · 46th 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.