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Blood Gene Activity Score For Future Pain Risk

New Jersey rates for HCPCS 0290U

Estimates a person's risk of developing chronic pain in the future rather than measuring the pain they feel now. How active 36 genes are is read from a whole-blood sample by RNA sequencing, and the result is reported as a risk score.

Rates data updated July 2026.

How much does Blood Gene Activity Score For Future Pain Risk cost?

$631

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $631 for this service. The price depends on where it is billed: about $589 from a physician practice, and about $1,148 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$589$501 to $646
FacilityA hospital or hospital-owned outpatient department$1,148$1,000 to $3,467

How much rates vary

Facilitymedian $1,148 · 10th to 90th $759 to $7,586Professionalmedian $589 · 10th to 90th $407 to $794
$200$500$1K$2K$5K$10K$20Kfacility $1,148professional $589

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
$977.24
Median
$1,000.00
Typical High
$4,677.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$602.56
Typical High
$1,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,659.59
Typical High
$1,778.28
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,000.00
Typical High
$1,412.54
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$11,481.54
Typical High
$25,703.96
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
United
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$758.58
Typical High
$1,584.89
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$776.25

Where New Jersey sits

The same service costs 3.7 times more in Alaska than in Wyoming. 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 Jersey· 35th of 51

$631

AK $1,698WY $457

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.