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Genetic Test For Medication Response

Washington, DC 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?

$126

Typical negotiated rate. In Washington, DC, July 2026.

Insurers have agreed to pay about $126 for this service. Most negotiated rates run $79.43 to $186.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $209 · 10th to 90th $74 to $209Professionalmedian $126 · 10th to 90th $74 to $219
$1$10$100facility $209professional $126

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$165.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$223.87
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$302.00
Typical High
$354.81
United
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$208.93
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$79.43
Typical High
$165.96

Where Washington, DC 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.

Washington, DC· 44th of 51

$126

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.