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Genetic Test For Medication Response

Wisconsin 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?

$209

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $457 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 9 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$204$174 to $417
FacilityA hospital or hospital-owned outpatient department$457$209 to $603

How much rates vary

Facilitymedian $457 · 10th to 90th $158 to $851Professionalmedian $204 · 10th to 90th $105 to $603
$100$200$500$1Kfacility $457professional $204

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
$380.19
Median
$467.74
Typical High
$478.63
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$181.97
Typical High
$645.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$512.86
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$478.63
Typical High
$549.54
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$724.44
Typical High
$1,096.48
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,174.90
Medica
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$223.87
Typical High
$616.60
Medica
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$104.71
Typical High
$537.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$64.57
Typical High
$173.78
Network Health
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$208.93
Typical High
$501.19
Network Health
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$281.84
Typical High
$416.87
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$223.87
Typical High
$524.81
Quartz
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$407.38
Typical High
$575.44
Quartz
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$831.76
Typical High
$831.76
Quartz
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$870.96
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$141.25
Typical High
$380.19
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$104.71
Typical High
$288.40

Where Wisconsin 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.

Wisconsin· 10th of 51

$209

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.