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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 October 2026.

How much does 16-Gene Medication Response Test cost?

$1,950

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $1,950 for this service. The price depends on where it is billed: about $1,820 from a physician practice, and about $1,995 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,820$562 to $1,950
FacilityA hospital or hospital-owned outpatient department$1,995$1,950 to $2,344

How much rates vary

Facilitymedian $1,995 · 10th to 90th $1,479 to $2,630Professionalmedian $1,820 · 10th to 90th $562 to $2,399
$1K$2Kfacility $1,995professional $1,820

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,548.82
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$1,949.84
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$1,479.11
Median
$1,995.26
Typical High
$2,630.27
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$1,819.70
Median
$1,995.26
Typical High
$2,454.71
Providence
Setting
Facility
Modifier
None
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$1,949.84
Providence
Setting
Professional
Modifier
None
Typical Low
$1,659.59
Median
$1,949.84
Typical High
$1,949.84
United
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$562.34
Typical High
$1,348.96

Where Montana sits

The same service costs 104.7 times more in Texas than in Alabama. 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.

Montana· 4th of 51

$1,950

TX $6,607AL $63.10

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.