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Genetic Test For Medication Response

Kentucky 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?

$324

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $324 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 $372
FacilityA hospital or hospital-owned outpatient department$589$417 to $1,122

How much rates vary

Facilitymedian $589 · 10th to 90th $380 to $8,318Professionalmedian $282 · 10th to 90th $240 to $617
$200$1K$5K$20Kfacility $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
$371.54
Median
$588.84
Typical High
$1,122.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$371.54
Typical High
$467.74
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$467.74
Typical High
$489.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$281.84
Typical High
$346.74
CareSource
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$6,918.31
Typical High
$41,686.94
CareSource
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$645.65
Typical High
$8,709.64
Cigna
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$676.08
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
Molina
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$562.34
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$281.84
Typical High
$467.74

Where Kentucky 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.

Kentucky· 50th of 51

$324

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.