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Genetic Test For Medication Response

Iowa 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?

$562

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $562 for this service. The price depends on where it is billed: about $468 from a physician practice, and about $832 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 8 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$468$282 to $891
FacilityA hospital or hospital-owned outpatient department$832$468 to $1,230

How much rates vary

Facilitymedian $832 · 10th to 90th $468 to $1,349Professionalmedian $468 · 10th to 90th $282 to $1,175
$200$500$1K$2Kfacility $832professional $468

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
$467.74
Median
$1,096.48
Typical High
$1,348.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$1,122.02
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$602.56
Typical High
$851.14
Medica
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$562.34
Typical High
$1,258.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$467.74
Typical High
$1,862.09
Midlands
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$575.44
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$501.19
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$1,023.29
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$1,174.90
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74

Where Iowa 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.

Iowa· 14th of 51

$562

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.