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Genetic Test For Medication Response

Pennsylvania 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 October 2026.

How much does Genetic Test For Medication Response cost?

$295

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $295 for this service. The price depends on where it is billed: about $295 from a physician practice, and about $457 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$295$295 to $347
FacilityA hospital or hospital-owned outpatient department$457$347 to $871

How much rates vary

Facilitymedian $457 · 10th to 90th $295 to $1,023Professionalmedian $295 · 10th to 90th $263 to $380
$200$500$1Kfacility $457professional $295

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$295.12
Median
$501.19
Typical High
$1,202.26
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$229.09
Median
$295.12
Typical High
$295.12
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$281.84
Median
$281.84
Typical High
$295.12
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$138.04
Median
$141.25
Typical High
$147.91
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$54.95
Median
$56.23
Typical High
$58.88
Geisinger
Setting
Professional
Modifier
None (both parts)
Typical Low
$263.03
Median
$269.15
Typical High
$398.11
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$295.12
Median
$676.08
Typical High
$1,230.27
Martin's Point
Setting
Professional
Modifier
None (both parts)
Typical Low
$208.93
Median
$295.12
Typical High
$295.12
Martin's Point
Setting
Professional
Modifier
26 · Professional part
Typical Low
$281.84
Median
$281.84
Typical High
$295.12
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$138.04
Median
$141.25
Typical High
$147.91
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$54.95
Median
$56.23
Typical High
$58.88
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$346.74
Median
$380.19
Typical High
$870.96
UPMC Health Plan
Setting
Professional
Modifier
None (both parts)
Typical Low
$346.74
Median
$380.19
Typical High
$380.19

Where Pennsylvania sits

The same service costs 8.3 times more in Massachusetts 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.

Pennsylvania· 34th of 50

$295

MA $1,738NE $209

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.