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Genetic Test For Medication Response

Virginia 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 Virginia, 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 $490 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$347$282 to $398
FacilityA hospital or hospital-owned outpatient department$490$468 to $1,023

How much rates vary

Facilitymedian $490 · 10th to 90th $398 to $1,820Professionalmedian $347 · 10th to 90th $282 to $562
$200$500$1K$2Kfacility $490professional $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
$398.11
Median
$977.24
Typical High
$1,819.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$398.11
Typical High
$891.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$1,862.09
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$467.74
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$398.11
Typical High
$457.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$1,148.15
Typical High
$2,398.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$512.86
Typical High
$645.65
Medcost
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$537.03
Typical High
$794.33
Medcost
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$977.24
Sentara
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$467.74
Typical High
$912.01
Sentara
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$467.74
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$467.74
Typical High
$562.34
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$234.42
Typical High
$537.03

Where Virginia 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.

Virginia· 39th 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.