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Antipsychotic Medicine Testing

Pennsylvania 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 Pennsylvania, October 2026.

Insurers have agreed to pay about $14.45 for this service. The price depends on where it is billed: about $14.45 from a physician practice, and about $0.04 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$14.45$10.23 to $23.99
FacilityA hospital or hospital-owned outpatient department$0.04$0.02 to $5,012

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $8,710Professionalmedian $14 · 10th to 90th $10 to $36
$0.1$1$10$100$1K$10K$100Kfacility $0professional $14

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
$0.02
Median
$0.02
Typical High
$0.04
Ambetter
Setting
Professional
Modifier
None (both parts)
Typical Low
$4.37
Median
$4.37
Typical High
$4.37
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$5,011.87
Typical High
$79,432.82
Capital Blue Cross
Setting
Professional
Modifier
None (both parts)
Typical Low
$8.71
Median
$10.96
Typical High
$10.96
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$16.60
Median
$25.12
Typical High
$37.15
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$5.01
Median
$5.01
Typical High
$5.01
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$0.02
Median
$0.02
Typical High
$0.04
Martin's Point
Setting
Professional
Modifier
None (both parts)
Typical Low
$0.04
Median
$0.04
Typical High
$0.04
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$10.00
Median
$14.79
Typical High
$33.88

Where Pennsylvania 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.

Pennsylvania· 36th 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.