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Genetic Test For Medication Response

Montana 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?

$234

Typical facility fee. In Montana, July 2026.

Insurers have agreed to pay about $234 for this service. Most negotiated rates run $174 to $282.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $263 · 10th to 90th $174 to $525Professionalmedian $219 · 10th to 90th $74 to $339
$100$200$500facility $263professional $219

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
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$263.03
Typical High
$524.81
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$263.03
Typical High
$524.81
Providence
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$173.78

Where Montana 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.

Montana· 7th of 51

$234

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.