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Genetic Test For Medication Response

Washington, DC rates for HCPCS 0030U

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?

$100

Typical negotiated rate. In Washington, DC, July 2026.

Insurers have agreed to pay about $100 for this service. The price depends on where it is billed: about $100 from a physician practice, and about $162 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$100$100 to $105
FacilityA hospital or hospital-owned outpatient department$162$100 to $219

How much rates vary

Facilitymedian $162 · 10th to 90th $100 to $229Professionalmedian $100 · 10th to 90th $95 to $105
$100$200$500facility $162professional $100

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$104.71
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$128.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$229.09
Typical High
$512.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$169.82
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$162.18
Typical High
$162.18
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$60.26
Typical High
$125.89

Where Washington, DC sits

The same service costs 3.4 times more in Alaska than in Alabama. 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.

Washington, DC· 46th of 51

$100

AK $302AL $89.13

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.