go back

Genetic Test For Medication Response

Oregon 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?

$468

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $468 for this service. The price depends on where it is billed: about $457 from a physician practice, and about $468 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$457$398 to $513
FacilityA hospital or hospital-owned outpatient department$468$468 to $537

How much rates vary

Facilitymedian $468 · 10th to 90th $468 to $871Professionalmedian $457 · 10th to 90th $363 to $692
$100$200$500$1K$2Kfacility $468professional $457

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
$870.96
Median
$2,089.30
Typical High
$2,089.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$457.09
Typical High
$891.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,096.48
Typical High
$1,348.96
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$467.74
Typical High
$676.08
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$562.34
Typical High
$676.08
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$562.34
Providence
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$645.65
Typical High
$1,230.27
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$512.86
Typical High
$645.65
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,380.38
Typical High
$1,698.24
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$398.11
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$562.34

Where Oregon 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.

Oregon· 25th of 51

$468

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.