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Genetic Test For Medication Response

Maine 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?

$135

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $135 for this service. The price depends on where it is billed: about $135 from a physician practice, and about $135 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$135$110 to $135
FacilityA hospital or hospital-owned outpatient department$135$135 to $302

How much rates vary

Facilitymedian $135 · 10th to 90th $135 to $339Professionalmedian $135 · 10th to 90th $81 to $162
$100$200$500facility $135professional $135

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
$134.90
Median
$134.90
Typical High
$338.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$109.65
Typical High
$109.65
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$87.10
Typical High
$691.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$162.18
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$338.84
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$109.65
Typical High
$134.90
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$134.90
Typical High
$194.98

Where Maine 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.

Maine· 24th of 51

$135

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.