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Genetic Test For Medication Response

Ohio 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?

$407

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $407 for this service. The price depends on where it is billed: about $295 from a physician practice, and about $490 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 5 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$295$245 to $603
FacilityA hospital or hospital-owned outpatient department$490$347 to $676

How much rates vary

Facilitymedian $490 · 10th to 90th $331 to $832Professionalmedian $295 · 10th to 90th $186 to $832
$200$500$1Kfacility $490professional $295

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
$331.13
Median
$630.96
Typical High
$831.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$295.12
Typical High
$831.76
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$371.54
Typical High
$645.65
CareSource
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$4,897.79
Typical High
$41,686.94
CareSource
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$5,495.41
Typical High
$9,772.37
Molina
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$346.74
Typical High
$416.87

Where Ohio 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.

Ohio· 19th of 51

$407

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.