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Genetic Test For Medication Response

New York 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?

$174

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $135 from a physician practice, and about $234 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 9 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$87.10 to $282
FacilityA hospital or hospital-owned outpatient department$234$135 to $309

How much rates vary

Facilitymedian $234 · 10th to 90th $110 to $372Professionalmedian $135 · 10th to 90th $72 to $407
$100$200$500$1Kfacility $234professional $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
$109.65
Median
$239.88
Typical High
$371.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$104.71
Typical High
$114.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$281.84
Typical High
$812.83
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$134.90
Typical High
$134.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$331.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$645.65
Typical High
$645.65
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$223.87
Typical High
$512.86
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$173.78
Typical High
$263.03
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$128.82
Typical High
$239.88
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$251.19
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$134.90
Typical High
$208.93
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$134.90
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$81.28
Typical High
$181.97
Univera
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$134.90
Typical High
$154.88
Univera
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$134.90
Typical High
$323.59

Where New York 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 York· 12th of 51

$174

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.