go back

Genetic Test For Medication Response

North Carolina rates for HCPCS 0032U

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?

$141

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $141 for this service. The price depends on where it is billed: about $141 from a physician practice, and about $209 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$141$100 to $158
FacilityA hospital or hospital-owned outpatient department$209$141 to $525

How much rates vary

Facilitymedian $209 · 10th to 90th $141 to $589Professionalmedian $141 · 10th to 90th $87 to $234
$100$200$500facility $209professional $141

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$288.40
Typical High
$588.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$141.25
Typical High
$165.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$524.81
Typical High
$549.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$114.82
Typical High
$281.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$457.09
Typical High
$794.33
Medcost
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$165.96
Typical High
$251.19
Medcost
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
United
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$204.17
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$104.71
Typical High
$186.21
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$1,318.26

Where North Carolina sits

The same service costs 3.4 times more in Alaska than in Nebraska. 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.

North Carolina· 38th of 51

$141

AK $389NE $115

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.