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Antipsychotic Medicine Testing

Wisconsin 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?

$22.91

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $22.91 for this service. The price depends on where it is billed: about $22.91 from a physician practice, and about $29.51 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$22.91$5.62 to $48.98
FacilityA hospital or hospital-owned outpatient department$29.51$13.80 to $50.12

How much rates vary

Facilitymedian $30 · 10th to 90th $14 to $83Professionalmedian $23 · 10th to 90th $6 to $76
$2.0$5.0$10.0$20.0$50.0$100.0$200.0facility $30professional $23

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
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$70.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$47.86
Typical High
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$27.54
Typical High
$74.13
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$43.65
Medica
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$112.20
Medica
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$13.80
Typical High
$42.66
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$50.12
Typical High
$85.11
Network Health
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$43.65
Quartz
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$54.95
Typical High
$79.43
Quartz
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$151.36
Quartz
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$56.23
United
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$19.05
Typical High
$23.99
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$13.80
Typical High
$41.69

Where Wisconsin 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.

Wisconsin $22.91 · 15th 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.