go back

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.

Facilitymedian $457 · 10th–90th $158$8510%10%10th90th$457Professionalmedian $204 · 10th–90th $105$6030%10%20%10th90th$204$100.0$200.0$500.0$1.0K

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
$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