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Genetic Test For Medication Response

New Jersey 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?

$398

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $398 for this service. The price depends on where it is billed: about $347 from a physician practice, and about $776 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 5 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$251 to $398
FacilityA hospital or hospital-owned outpatient department$776$603 to $2,138

How much rates vary

Facilitymedian $776 · 10th to 90th $427 to $4,677Professionalmedian $347 · 10th to 90th $245 to $468
$200$500$1K$2K$5K$10K$20Kfacility $776professional $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
$426.58
Median
$616.60
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$371.54
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$1,023.29
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$676.08
Typical High
$870.96
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$7,762.47
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$446.68
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$467.74
Typical High
$954.99
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$281.84
Typical High
$478.63

Where New Jersey 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.

New Jersey· 37th of 51

$398

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.