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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 July 2026.

How much does Genetic Test For Medication Response cost?

$324

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $324 for this service. The price depends on where it is billed: about $229 from a physician practice, and about $490 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$229$115 to $537
FacilityA hospital or hospital-owned outpatient department$490$282 to $832

How much rates vary

Facilitymedian $490 · 10th to 90th $174 to $1,202Professionalmedian $229 · 10th to 90th $100 to $741
$100$200$500$1K$2Kfacility $490professional $229

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
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$501.19
Typical High
$870.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$524.81
Typical High
$812.83
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$758.58
Typical High
$1,737.80
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$245.47
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$190.55
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
$173.78
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
$363.08

Where California 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.

California· 4th of 51

$324

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.