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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 July 2026.

How much does Genetic Test For Medication Response cost?

$162

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $162 for this service. Most negotiated rates run $100 to $871.

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 $562 · 10th to 90th $105 to $19,953Professionalmedian $105 · 10th to 90th $72 to $182
$100$500$2K$10Kfacility $562professional $105

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
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$251.19
Typical High
$380.19
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$9,332.54
Typical High
$23,988.33
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
$177.83

Where New Jersey 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.

New Jersey· 37th of 51

$162

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.