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Genetic Test For Medication Response

Montana 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?

$631

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $631 for this service. The price depends on where it is billed: about $589 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 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$589$417 to $741
FacilityA hospital or hospital-owned outpatient department$692$589 to $851

How much rates vary

Facilitymedian $692 · 10th to 90th $525 to $1,622Professionalmedian $589 · 10th to 90th $195 to $912
$100$1K$10K$100Kfacility $692professional $589

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
$524.81
Median
$707.95
Typical High
$851.14
BCBS
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,621.81
Typical High
$87,096.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$691.83
Typical High
$1,412.54
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$691.83
Typical High
$1,412.54
Providence
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$724.44
Typical High
$1,023.29
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$416.87
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$467.74

Where Montana 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.

Montana· 6th of 51

$631

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.