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Genetic Test For Medication Response

Delaware rates for HCPCS 0034U

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 facility fee. In Delaware, July 2026.

Insurers have agreed to pay about $282 for this service. Most negotiated rates run $245 to $398.

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 $537 · 10th to 90th $490 to $537Professionalmedian $245 · 10th to 90th $245 to $389
$200$500$1Kfacility $537professional $245

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
$489.78
Median
$537.03
Typical High
$537.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$281.84
Typical High
$691.83

Where Delaware sits

The same service costs 3.7 times more in Alaska 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.

Delaware· 51st of 51

$282

AK $1,047DE $282

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.