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Genetic Test For Medication Response

North Carolina 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?

$661

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $661 for this service. The price depends on where it is billed: about $631 from a physician practice, and about $871 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$631$372 to $891
FacilityA hospital or hospital-owned outpatient department$871$646 to $1,072

How much rates vary

Facilitymedian $871 · 10th to 90th $589 to $2,239Professionalmedian $631 · 10th to 90th $331 to $1,175
$500$1K$2K$5Kfacility $871professional $631

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
$1,445.44
Median
$2,238.72
Typical High
$2,290.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$660.69
Typical High
$1,174.90
Medcost
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$676.08
Typical High
$1,071.52
Medcost
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$870.96
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$446.68
Typical High
$776.25
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$5,623.41

Where North Carolina 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.

North Carolina· 38th of 51

$661

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.