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Genetic Test For Medication Response

Colorado 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?

$347

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $347 for this service. The price depends on where it is billed: about $74.13 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 5 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 $79.43
FacilityA hospital or hospital-owned outpatient department$490$316 to $741

How much rates vary

Facilitymedian $490 · 10th to 90th $182 to $891Professionalmedian $74 · 10th to 90th $74 to $182
$50$100$200$500$1Kfacility $490professional $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
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$524.81
Typical High
$891.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$257.04
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$173.78
Typical High
$257.04
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$181.97
Typical High
$263.03
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$128.82

Where Colorado 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.

Colorado· 2nd of 51

$347

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.