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16-Gene Medication Response Test

Montana rates for HCPCS 0347U

Helps a clinician pick medications that suit your genetics and avoid ones your body may process poorly. Sixteen genes that affect how the body handles medicines are examined in either whole blood or a cheek (buccal) swab, and each gene is reported as a metabolizer type. It is the smallest gene set in this family of medication-response tests.

Rates data updated July 2026.

How much does 16-Gene Medication Response Test cost?

$1,660

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $1,660 for this service. The price depends on where it is billed: about $1,549 from a physician practice, and about $1,738 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$1,549$1,349 to $1,820
FacilityA hospital or hospital-owned outpatient department$1,738$1,660 to $2,138

How much rates vary

Facilitymedian $1,738 · 10th to 90th $1,349 to $4,074Professionalmedian $1,549 · 10th to 90th $562 to $2,630
$100.0$200.0$500.0$1.0K$2.0Kfacility $1,738professional $1,549

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
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,548.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$1,949.84
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,737.80
Typical High
$4,073.80
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,737.80
Typical High
$4,073.80
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$2,089.30
Typical High
$2,951.21
Providence
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$1,659.59
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,621.81
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$1,348.96

Where Montana sits

The same service costs 3.8 times more in Alaska than in Wyoming. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Montana $1,660 · 6th of 51
AK $3,020WY $794

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.