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Genetic Test For Medication Response

Tennessee 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?

$372

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $372 for this service. The price depends on where it is billed: about $372 from a physician practice, and about $525 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$372$347 to $417
FacilityA hospital or hospital-owned outpatient department$525$380 to $1,479

How much rates vary

Facilitymedian $525 · 10th to 90th $347 to $1,660Professionalmedian $372 · 10th to 90th $240 to $468
$100$200$500$1K$2Kfacility $525professional $372

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
$346.74
Median
$588.84
Typical High
$1,659.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$363.08
Typical High
$416.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$467.74
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$831.76
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$3,467.37
Typical High
$3,467.37
United
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$467.74
Typical High
$467.74
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$281.84
Typical High
$467.74

Where Tennessee 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.

Tennessee· 42nd of 51

$372

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.