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Genetic Test For Medication Response

Wisconsin 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?

$661

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $661 for this service. The price depends on where it is billed: about $398 from a physician practice, and about $955 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 9 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$398$282 to $741
FacilityA hospital or hospital-owned outpatient department$955$692 to $1,175

How much rates vary

Facilitymedian $955 · 10th to 90th $417 to $1,660Professionalmedian $398 · 10th to 90th $209 to $1,259
$100$200$500$1K$2Kfacility $955professional $398

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
$954.99
Median
$954.99
Typical High
$954.99
Aetna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$933.25
Typical High
$954.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,023.29
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$954.99
Typical High
$1,096.48
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$1,445.44
Typical High
$2,187.76
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,344.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$446.68
Typical High
$1,230.27
Medica
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$208.93
Typical High
$1,071.52
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$64.57
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$416.87
Typical High
$1,000.00
Network Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$562.34
Typical High
$831.76
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$446.68
Typical High
$1,047.13
Quartz
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$912.01
Quartz
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,412.54
Typical High
$1,412.54
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80

Where Wisconsin 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.

Wisconsin· 4th of 51

$661

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.