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Genetic Test For Medication Response

Indiana 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?

$174

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $87.10 from a physician practice, and about $174 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 4 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$87.10$79.43 to $120
FacilityA hospital or hospital-owned outpatient department$174$174 to $347

How much rates vary

Facilitymedian $174 · 10th to 90th $174 to $525Professionalmedian $87 · 10th to 90th $63 to $174
$50$100$200$500$1Kfacility $174professional $87

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
$173.78
Median
$173.78
Typical High
$524.81
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$79.43
Typical High
$173.78
CareSource
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$2,511.89
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$213.80
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$104.71
Typical High
$190.55

Where Indiana 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.

Indiana· 23rd of 51

$174

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.