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Genetic Test For Medication Response

California 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 June 2026.

Facilitymedian $501 · 10th–90th $178$1,2020%5%10th90th$501Professionalmedian $158 · 10th–90th $107$5890%10%10th90th$158$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$707.95
Typical High
$1,174.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$144.54
Typical High
$194.98
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$436.52
Typical High
$891.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$537.03
Typical High
$812.83
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$741.31
Typical High
$1,995.26
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$141.25
Typical High
$354.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$251.19
Typical High
$562.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$208.93
Typical High
$234.42
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$190.55
Typical High
$309.03
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,318.26
Typical High
$1,318.26
Providence
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$208.93
Typical High
$281.84
Providence
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$190.55
Typical High
$263.03
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$173.78
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$346.74