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Genetic Test For Medication Response

Illinois rates for HCPCS 0029U

A genetic test that looks at inherited differences affecting how a person's body handles or responds to medicines. The findings help the prescriber pick a drug and a dose more likely to work well and less likely to cause side effects.

Rates data updated July 2026.

How much does Genetic Test For Medication Response cost?

$741

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $741 for this service. The price depends on where it is billed: about $479 from a physician practice, and about $891 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 4 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$479$407 to $1,000
FacilityA hospital or hospital-owned outpatient department$891$741 to $1,000

How much rates vary

Facilitymedian $891 · 10th to 90th $741 to $1,288Professionalmedian $479 · 10th to 90th $309 to $1,259
$200$500$1K$2Kfacility $891professional $479

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
BCBS
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,000.00
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$912.01
Typical High
$1,071.52
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$1,000.00
Typical High
$1,380.38
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$1,479.11
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$446.68
Typical High
$741.31

Where Illinois sits

The same service costs 4.5 times more in Alaska than in West Virginia. 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.

Illinois· 17th of 51

$741

AK $1,660WV $372

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.