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Genetic Test For Medication Response

Ohio 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?

$661

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $661 for this service. The price depends on where it is billed: about $692 from a physician practice, and about $631 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$692$380 to $871
FacilityA hospital or hospital-owned outpatient department$631$468 to $933

How much rates vary

Facilitymedian $631 · 10th to 90th $437 to $1,122Professionalmedian $692 · 10th to 90th $275 to $1,148
$200$500$1Kfacility $631professional $692

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
$831.76
Typical High
$1,174.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$398.11
Typical High
$1,023.29
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$489.78
Typical High
$851.14
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$707.95
Typical High
$1,258.93
CareSource
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$6,456.54
Typical High
$41,686.94
CareSource
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$7,244.36
Typical High
$12,882.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$616.60
Typical High
$2,344.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$616.60
Typical High
$2,238.72
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$616.60
Typical High
$2,570.40
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Molina
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$512.86
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$467.74
Typical High
$691.83
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$281.84
Typical High
$537.03

Where Ohio 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.

Ohio· 5th of 51

$661

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.