go back

Genetic Test For Medication Response

Georgia 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?

$363

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $363 for this service. The price depends on where it is billed: about $282 from a physician practice, and about $589 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$282$282 to $407
FacilityA hospital or hospital-owned outpatient department$589$417 to $631

How much rates vary

Facilitymedian $589 · 10th to 90th $363 to $1,000Professionalmedian $282 · 10th to 90th $282 to $447
$200$500$1Kfacility $589professional $282

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
$309.03
Median
$416.87
Typical High
$1,318.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$371.54
Typical High
$446.68
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$588.84
Typical High
$724.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,023.29
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$562.34
Typical High
$676.08
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$602.56
Typical High
$2,187.76
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$549.54
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$467.74
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$281.84
Typical High
$602.56

Where Georgia 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.

Georgia· 44th of 51

$363

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.