go back

Genetic Test For Medication Response

Texas 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?

$102

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $102 for this service. The price depends on where it is billed: about $85.11 from a physician practice, and about $162 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$85.11$81.28 to $102
FacilityA hospital or hospital-owned outpatient department$162$102 to $251

How much rates vary

Facilitymedian $162 · 10th to 90th $83 to $589Professionalmedian $85 · 10th to 90th $56 to $135
$100$200$500$1Kfacility $162professional $85

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
$83.18
Median
$169.82
Typical High
$588.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$85.11
Typical High
$114.82
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$269.15
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$162.18
Typical High
$194.98
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,000.00
Typical High
$1,000.00
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$134.90
Typical High
$208.93
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$134.90
Typical High
$165.96
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$144.54
Typical High
$288.40
Providence
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$134.90
Typical High
$354.81
Providence
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$147.91
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$134.90
Typical High
$162.18
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$134.90
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$134.90
Typical High
$186.21

Where Texas 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.

Texas· 45th of 51

$102

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.