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Genetic Test For Medication Response

Michigan 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?

$129

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $129 for this service. The price depends on where it is billed: about $93.33 from a physician practice, and about $129 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$93.33$89.13 to $129
FacilityA hospital or hospital-owned outpatient department$129$129 to $158

How much rates vary

Facilitymedian $129 · 10th to 90th $126 to $234Professionalmedian $93 · 10th to 90th $72 to $158
$100$200facility $129professional $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
$128.82
Median
$128.82
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$114.82
Typical High
$158.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$93.33
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$169.82
Typical High
$302.00
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$138.04
Typical High
$338.84
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$134.90
Typical High
$181.97
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$302.00
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$134.90
Typical High
$162.18
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$81.28
Typical High
$134.90

Where Michigan 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.

Michigan· 32nd of 51

$129

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.