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Antipsychotic Medicine Testing

Vermont 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?

$25.70

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $25.70 for this service. Most negotiated rates run $14.45 to $29.51.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $9Professionalmedian $26 · 10th to 90th $14 to $46
$2.0$5.0$10.0$20.0$50.0$100.0facility $1professional $26

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.20
Median
$1.20
Typical High
$1.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$23.99
Typical High
$29.51
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
$8.51
Median
$8.51
Typical High
$8.51
United
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$25.70
Typical High
$45.71

Where Vermont 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.

Vermont $25.70 · 12th 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.