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Genetic Test For Medication Response

New York 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 York, July 2026.

Insurers have agreed to pay about $398 for this service. The price depends on where it is billed: about $282 from a physician practice, and about $813 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 9 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 $468
FacilityA hospital or hospital-owned outpatient department$813$468 to $1,096

How much rates vary

Facilitymedian $813 · 10th to 90th $380 to $1,288Professionalmedian $282 · 10th to 90th $245 to $813
$200$500$1K$2Kfacility $813professional $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
$380.19
Median
$831.76
Typical High
$1,288.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$323.59
Typical High
$398.11
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$1,202.26
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$977.24
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$467.74
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$1,000.00
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$2,238.72
Typical High
$2,238.72
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$776.25
Typical High
$1,778.28
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$616.60
Typical High
$891.25
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$446.68
Typical High
$831.76
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$870.96
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$467.74
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$467.74
Typical High
$691.83
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$281.84
Typical High
$645.65
Univera
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$467.74
Typical High
$537.03
Univera
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$467.74
Typical High
$1,122.02

Where New York 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 York· 36th 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.