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Genetic Test For Medication Response

Pennsylvania 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?

$708

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $708 for this service. The price depends on where it is billed: about $575 from a physician practice, and about $741 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 5 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$575$447 to $813
FacilityA hospital or hospital-owned outpatient department$741$741 to $891

How much rates vary

Facilitymedian $741 · 10th to 90th $741 to $1,820Professionalmedian $575 · 10th to 90th $309 to $1,259
$500$1K$2K$5K$10K$20K$50Kfacility $741professional $575

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
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$1,071.52
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,230.27
Typical High
$1,862.09
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$1,819.70
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$741.31
Typical High
$891.25
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$446.68
Typical High
$1,000.00

Where Pennsylvania 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.

Pennsylvania· 26th of 51

$708

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.