go back

Genetic Test For Medication Response

Wisconsin 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?

$891

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $891 for this service. The price depends on where it is billed: about $813 from a physician practice, and about $1,862 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$813$692 to $1,738
FacilityA hospital or hospital-owned outpatient department$1,862$891 to $2,951

How much rates vary

Facilitymedian $1,862 · 10th to 90th $661 to $3,715Professionalmedian $813 · 10th to 90th $447 to $2,455
$500$1K$2K$5Kfacility $1,862professional $813

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
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$691.83
Typical High
$2,290.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$2,187.76
Typical High
$3,467.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$2,041.74
Typical High
$2,290.87
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$3,090.30
Typical High
$4,677.35
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,897.79
Medica
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$891.25
Typical High
$2,570.40
Medica
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$446.68
Typical High
$2,290.87
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$64.57
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$891.25
Typical High
$2,137.96
Network Health
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,174.90
Typical High
$1,737.80
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$891.25
Typical High
$2,238.72
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,737.80
Typical High
$2,454.71
Quartz
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$3,548.13
Typical High
$3,548.13
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$3,715.35
Typical High
$3,715.35
United
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$588.84
Typical High
$1,621.81
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$446.68
Typical High
$1,230.27

Where Wisconsin 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.

Wisconsin· 9th of 51

$891

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.