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Genetic Test For Medication Response

New York 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.

Facilitymedian $174 · 10th–90th $158$4070%20%40%10th90th$174Professionalmedian $182 · 10th–90th $74$2880%20%40%10th90th$182$50.0$200.0$1.0K$5.0K$20.0K

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
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$457.09
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$181.97
Typical High
$331.13
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$173.78
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$257.04
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$288.40
Typical High
$676.08
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$229.09
Typical High
$338.84
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$165.96
Typical High
$309.03
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$331.13
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$173.78
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$173.78
Typical High
$263.03
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$104.71
Typical High
$229.09
Univera
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$173.78
Typical High
$199.53
Univera
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$173.78
Typical High
$416.87