go back

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.

How much does Genetic Test For Medication Response cost?

$182

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $182 for this service. The price depends on where it is billed: about $182 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 8 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$182$110 to $182
FacilityA hospital or hospital-owned outpatient department$174$174 to $229

How much rates vary

Facilitymedian $174 · 10th to 90th $158 to $407Professionalmedian $182 · 10th to 90th $74 to $288
$100$200$500$1Kfacility $174professional $182

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
$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

Where New York 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 York· 15th of 51

$182

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.