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Genetic Test For Medication Response

Arizona rates for HCPCS 0031U

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?

$166

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $166 for this service. The price depends on where it is billed: about $74.13 from a physician practice, and about $355 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 3 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$74.13$74.13 to $105
FacilityA hospital or hospital-owned outpatient department$355$174 to $562

How much rates vary

Facilitymedian $355 · 10th to 90th $123 to $794Professionalmedian $74 · 10th to 90th $74 to $240
$100$200$500$1Kfacility $355professional $74

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
BCBS
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$501.19
Typical High
$912.01
BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$173.78
Typical High
$1,202.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$173.78
Typical High
$316.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$173.78
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$104.71

Where Arizona sits

The same service costs 6.8 times more in Alaska than in Kentucky. 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.

Arizona· 36th of 51

$166

AK $389KY $57.54

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.