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Genetic Test For Medication Response

North Carolina 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?

$575

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $575 for this service. Most negotiated rates run $251 to $1,175.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,096 · 10th to 90th $603 to $1,175Professionalmedian $251 · 10th to 90th $251 to $1,175
$500$1K$2Kfacility $1,096professional $251

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
$602.56
Median
$1,096.48
Typical High
$1,174.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$1,174.90
Medcost
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$2,630.27

Where North Carolina 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.

North Carolina· 8th of 51

$575

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.