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Genetic Test For Medication Response

Idaho 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?

$468

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $468 for this service. The price depends on where it is billed: about $437 from a physician practice, and about $692 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$437$398 to $479
FacilityA hospital or hospital-owned outpatient department$692$468 to $1,072

How much rates vary

Facilitymedian $692 · 10th to 90th $468 to $1,413Professionalmedian $437 · 10th to 90th $282 to $490
$200$500$1Kfacility $692professional $437

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
$831.76
Typical High
$1,202.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$436.52
Typical High
$457.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$794.33
Typical High
$1,659.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$478.63
Typical High
$478.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$977.24
Typical High
$1,819.70
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$467.74
Typical High
$912.01
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$588.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$912.01
Typical High
$1,659.59
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$489.78
Select Health
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$602.56
Select Health
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$467.74

Where Idaho 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.

Idaho· 19th of 51

$468

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.