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Genetic Test For Medication Response

New York 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?

$282

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $282 for this service. The price depends on where it is billed: about $229 from a physician practice, and about $347 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$229$191 to $295
FacilityA hospital or hospital-owned outpatient department$347$282 to $676

How much rates vary

Facilitymedian $347 · 10th to 90th $191 to $1,148Professionalmedian $229 · 10th to 90th $191 to $295
$200$500$1Kfacility $347professional $229

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
$190.55
Median
$295.12
Typical High
$1,148.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$229.09
Typical High
$295.12
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$912.01
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$346.74
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$512.86
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$660.69
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$346.74
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93

Where New York 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.

New York· 36th of 51

$282

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.