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Genetic Test For Medication Response

Illinois rates for HCPCS 0033U

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?

$447

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $447 for this service. The price depends on where it is billed: about $347 from a physician practice, and about $550 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 4 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$347$229 to $603
FacilityA hospital or hospital-owned outpatient department$550$355 to $724

How much rates vary

Facilitymedian $550 · 10th to 90th $347 to $871Professionalmedian $347 · 10th to 90th $191 to $724
$200$500$1Kfacility $550professional $347

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
$346.74
Median
$549.54
Typical High
$870.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$295.12
Typical High
$724.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$426.58
Typical High
$512.86
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$467.74
Typical High
$645.65
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$208.93
Typical High
$346.74

Where Illinois sits

The same service costs 8.9 times more in South Carolina than in Delaware. 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.

Illinois· 15th of 51

$447

SC $1,660DE $186

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.