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Genetic Test For Medication Response

Illinois 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?

$141

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $141 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $209 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$115$83.18 to $162
FacilityA hospital or hospital-owned outpatient department$209$141 to $275

How much rates vary

Facilitymedian $209 · 10th to 90th $135 to $339Professionalmedian $115 · 10th to 90th $72 to $275
$100$200$500facility $209professional $115

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
$131.83
Median
$208.93
Typical High
$281.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$114.82
Typical High
$275.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$181.97
Typical High
$218.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$295.12
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$162.18
Typical High
$194.98
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$186.21
Typical High
$338.84
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$269.15
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$81.28
Typical High
$134.90

Where Illinois 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.

Illinois· 19th of 51

$141

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.