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Genetic Test For Medication Response

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $148 from a physician practice, and about $282 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 8 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$148$105 to $282
FacilityA hospital or hospital-owned outpatient department$282$135 to $417

How much rates vary

Facilitymedian $282 · 10th to 90th $115 to $676Professionalmedian $148 · 10th to 90th $87 to $363
$100$200$500facility $282professional $148

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
$114.82
Median
$295.12
Typical High
$676.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$114.82
Typical High
$257.04
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$707.95
Typical High
$831.76
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$467.74
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$114.82
Typical High
$131.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$331.13
Typical High
$691.83
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$147.91
Typical High
$186.21
Medcost
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$134.90
Typical High
$229.09
Medcost
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$281.84
Sentara
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$134.90
Typical High
$263.03
Sentara
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$134.90
Typical High
$263.03
United
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$134.90
Typical High
$162.18
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$67.61
Typical High
$154.88

Where Virginia 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.

Virginia· 4th 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.