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Genetic Test For Medication Response

Georgia 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?

$182

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $182 for this service. Most negotiated rates run $182 to $234.

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.

How much rates vary

Facilitymedian $234 · 10th to 90th $155 to $447Professionalmedian $182 · 10th to 90th $105 to $219
$100$200$500facility $234professional $182

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
$154.88
Median
$234.42
Typical High
$446.68
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$181.97
Typical High
$208.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$257.04
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$229.09
Typical High
$812.83
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$204.17
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$104.71
Typical High
$229.09

Where Georgia 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.

Georgia· 14th of 51

$182

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.