go back

Genetic Test For Medication Response

Montana 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?

$166

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $166 for this service. The price depends on where it is billed: about $155 from a physician practice, and about $174 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$155$135 to $174
FacilityA hospital or hospital-owned outpatient department$174$166 to $214

How much rates vary

Facilitymedian $174 · 10th to 90th $135 to $407Professionalmedian $155 · 10th to 90th $56 to $263
$100$200facility $174professional $155

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
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$173.78
Typical High
$407.38
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$173.78
Typical High
$407.38
Providence
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$208.93
Typical High
$295.12
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$120.23
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$134.90

Where Montana 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.

Montana· 13th of 51

$166

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.