go back

Genetic Test For Medication Response

Maryland 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 Maryland, July 2026.

Insurers have agreed to pay about $100 for this service. Most negotiated rates run $85.11 to $110.

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.

How much rates vary

Facilitymedian $56 · 10th to 90th $56 to $102Professionalmedian $100 · 10th to 90th $59 to $120
$100$200facility $56professional $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
Professional
Modifier
Global
Typical Low
$87.10
Median
$100.00
Typical High
$114.82
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$120.23
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$162.18
Typical High
$199.53
United
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$102.33
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$60.26
Typical High
$117.49
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61

Where Maryland 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.

Maryland· 50th 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.