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Genetic Test For Medication Response

Oregon 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?

$174

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $191 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 6 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$191$148 to $234
FacilityA hospital or hospital-owned outpatient department$174$174 to $182

How much rates vary

Facilitymedian $174 · 10th to 90th $174 to $229Professionalmedian $191 · 10th to 90th $74 to $251
$100$200$500facility $174professional $191

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
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$407.38
Typical High
$501.19
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$173.78
Typical High
$251.19
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$208.93
Typical High
$251.19
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$204.17
Providence
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$239.88
Typical High
$426.58
Providence
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$223.87
Typical High
$251.19
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$524.81
Typical High
$630.96
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$147.91
Typical High
$208.93
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$208.93

Where Oregon 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.

Oregon· 21st of 51

$174

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.