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Antipsychotic Medicine Testing

Virginia 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?

$10.72

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $10.72 for this service. The price depends on where it is billed: about $9.33 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 8 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$9.33$5.62 to $18.20
FacilityA hospital or hospital-owned outpatient department$21.38$0.03 to $32.36

How much rates vary

Facilitymedian $21 · 10th to 90th $0 to $10,000Professionalmedian $9 · 10th to 90th $6 to $46
$0.1$1.0$10.0$100.0$1.0K$10.0Kfacility $21professional $9

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
$0.03
Median
$0.03
Typical High
$0.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.03
Median
$0.03
Typical High
$0.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$14.45
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$74.13
Typical High
$97.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$46.77
Typical High
$69.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$18.20
Typical High
$35.48
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$33.88
Typical High
$35.48
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1.62
Median
$1.62
Typical High
$28.84
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1.62
Median
$1.62
Typical High
$33.88
Sentara
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$29.51
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$29.51
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$12.59
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$13.18
Typical High
$23.99

Where Virginia 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.

Virginia $10.72 · 40th 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.