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Genetic Test For Medication Response

New Jersey 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?

$115

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $115 for this service. The price depends on where it is billed: about $107 from a physician practice, and about $224 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$107$81.28 to $115
FacilityA hospital or hospital-owned outpatient department$224$174 to $676

How much rates vary

Facilitymedian $224 · 10th to 90th $135 to $1,349Professionalmedian $107 · 10th to 90th $71 to $155
$100$500$2K$10Kfacility $224professional $107

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
$169.82
Median
$177.83
Typical High
$831.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$107.15
Typical High
$154.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$295.12
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$194.98
Typical High
$288.40
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$9,549.93
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$128.82
Typical High
$138.04
United
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$134.90
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$81.28
Typical High
$138.04

Where New Jersey 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.

New Jersey· 37th of 51

$115

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.