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Genetic Test For Medication Response

Florida 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 Florida, July 2026.

Insurers have agreed to pay about $100 for this service. The price depends on where it is billed: about $93.33 from a physician practice, and about $245 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 7 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$93.33$81.28 to $110
FacilityA hospital or hospital-owned outpatient department$245$120 to $389

How much rates vary

Facilitymedian $245 · 10th to 90th $98 to $661Professionalmedian $93 · 10th to 90th $71 to $123
$50$100$200$500facility $245professional $93

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$363.08
Typical High
$724.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$93.33
Typical High
$117.49
AvMed
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
AvMed
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$134.90
Typical High
$134.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$97.72
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$162.18
Typical High
$645.65
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$114.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$134.90
United
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$120.23
Typical High
$134.90
United
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$57.54
Typical High
$177.83
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$134.90

Where Florida 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.

Florida· 47th 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.