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Genetic Test For Medication Response

Virginia 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 Virginia, 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 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$182$182 to $224
FacilityA hospital or hospital-owned outpatient department$174$174 to $263

How much rates vary

Facilitymedian $174 · 10th to 90th $174 to $447Professionalmedian $182 · 10th to 90th $87 to $302
$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
$691.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$302.00
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$151.36
Typical High
$169.82
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$190.55
Typical High
$245.47
Medcost
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$199.53
Typical High
$295.12
Medcost
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$363.08
Sentara
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$173.78
Typical High
$338.84
Sentara
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$173.78
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$173.78
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$87.10
Typical High
$199.53

Where Virginia 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.

Virginia· 16th 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.