go back

Genetic Test For Medication Response

Massachusetts 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 Massachusetts, July 2026.

Insurers have agreed to pay about $468 for this service. The price depends on where it is billed: about $468 from a physician practice, and about $724 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$363 to $468
FacilityA hospital or hospital-owned outpatient department$724$562 to $1,072

How much rates vary

Facilitymedian $724 · 10th to 90th $468 to $1,445Professionalmedian $468 · 10th to 90th $282 to $933
$500$1K$2K$5Kfacility $724professional $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
$323.59
Median
$851.14
Typical High
$1,479.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$323.59
Typical High
$380.19
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$1,202.26
Typical High
$2,238.72
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$467.74
Typical High
$1,318.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$588.84
Typical High
$831.76
BCBS
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$363.08
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$562.34
Typical High
$707.95
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$4,897.79
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$794.33
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$933.25
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$1,202.26
Typical High
$2,238.72
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$467.74
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$467.74
Typical High
$562.34
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$467.74
Typical High
$1,071.52

Where Massachusetts 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.

Massachusetts· 20th 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.