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Genetic Test For Medication Response

Kentucky 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?

$240

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $195 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 6 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$240$123 to $282
FacilityA hospital or hospital-owned outpatient department$195$135 to $324

How much rates vary

Facilitymedian $195 · 10th to 90th $110 to $2,884Professionalmedian $240 · 10th to 90th $91 to $282
$100$500$2K$10K$50Kfacility $195professional $240

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
$109.65
Median
$165.96
Typical High
$323.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$107.15
Typical High
$181.97
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$281.84
Typical High
$281.84
CareSource
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$2,041.74
Typical High
$41,686.94
CareSource
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$186.21
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$194.98
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Molina
Setting
Professional
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
$162.18
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$81.28
Typical High
$134.90

Where Kentucky 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.

Kentucky· 5th of 51

$240

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.