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Genetic Test For Medication Response

New Jersey 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 June 2026.

Facilitymedian $288 · 10th–90th $200$1,2590%20%10th90th$288Professionalmedian $138 · 10th–90th $95$2000%20%10th90th$138$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$234.42
Typical High
$1,047.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$141.25
Typical High
$199.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$389.05
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$234.42
Typical High
$380.19
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$9,332.54
Typical High
$25,118.86
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$169.82
Typical High
$177.83
United
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$173.78
Typical High
$354.81
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$104.71
Typical High
$181.97