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Genetic Test For Medication Response

South Dakota 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?

$257

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $257 from a physician practice, and about $257 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 7 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$257$126 to $324
FacilityA hospital or hospital-owned outpatient department$257$257 to $257

How much rates vary

Facilitymedian $257 · 10th to 90th $151 to $257Professionalmedian $257 · 10th to 90th $105 to $347
$100$200facility $257professional $257

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
$93.33
Median
$151.36
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$125.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$257.04
Typical High
$323.59
Medica
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$151.36
Typical High
$245.47
Medica
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$676.08
Midlands
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$316.23
Typical High
$371.54
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$81.28
Typical High
$177.83
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90

Where South Dakota 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.

South Dakota· 3rd of 51

$257

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.