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Genetic Test For Medication Response

Michigan 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?

$447

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $447 for this service. The price depends on where it is billed: about $347 from a physician practice, and about $447 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$347$331 to $447
FacilityA hospital or hospital-owned outpatient department$447$447 to $550

How much rates vary

Facilitymedian $447 · 10th to 90th $417 to $813Professionalmedian $347 · 10th to 90th $251 to $550
$200$500$1Kfacility $447professional $347

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
$436.52
Median
$446.68
Typical High
$812.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$446.68
Typical High
$549.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$524.81
Typical High
$933.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$346.74
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$562.34
Typical High
$1,047.13
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$549.54
Typical High
$1,174.90
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$467.74
Typical High
$630.96
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$562.34
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$467.74
Typical High
$562.34
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$281.84
Typical High
$467.74

Where Michigan 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.

Michigan· 31st of 51

$447

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.