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25-Gene Medication Response Test

Idaho rates for HCPCS 0348U

Helps a clinician pick medications that suit your genetics and avoid ones your body may process poorly. Twenty-five 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. This version reports the gene results themselves, without an accompanying analysis of individual drug interactions.

Rates data updated October 2026.

How much does 25-Gene Medication Response Test cost?

$759

Typical negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $759 for this service. The price depends on where it is billed: about $741 from a physician practice, and about $1,148 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$741$631 to $891
FacilityA hospital or hospital-owned outpatient department$1,148$741 to $1,862

How much rates vary

Facilitymedian $1,148 · 10th to 90th $741 to $2,692Professionalmedian $741 · 10th to 90th $309 to $1,445
$50$100$200$500$1K$2Kfacility $1,148professional $741

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
Facility
Modifier
None
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
Aetna
Setting
Professional
Modifier
None
Typical Low
$524.81
Median
$1,445.44
Typical High
$1,445.44
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$741.31
Median
$1,258.93
Typical High
$2,691.53
BCBS Idaho
Setting
Professional
Modifier
None
Typical Low
$630.96
Median
$741.31
Typical High
$758.58
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,884.03
Median
$2,884.03
Typical High
$2,884.03
Moda Health
Setting
Facility
Modifier
None
Typical Low
$741.31
Median
$741.31
Typical High
$1,445.44
Moda Health
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$891.25
Typical High
$1,445.44
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$741.31
Median
$741.31
Typical High
$1,122.02
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$776.25
Typical High
$1,122.02
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$1,122.02
Median
$1,659.59
Typical High
$2,691.53
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$630.96
Median
$630.96
Typical High
$776.25
Select Health
Setting
Facility
Modifier
None
Typical Low
$741.31
Median
$741.31
Typical High
$954.99
Select Health
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$741.31
Typical High
$1,047.13
United
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$1,174.90
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
BCBS Idaho
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$524.81
Median
$524.81
Typical High
$524.81

Where Idaho sits

The same service costs 58.9 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.

Idaho· 13th of 51

$759

TX $3,715AL $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.