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25-Gene Medication Response Test

Maine 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 July 2026.

How much does 25-Gene Medication Response Test cost?

$741

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $741 for this service. The price depends on where it is billed: about $741 from a physician practice, and about $1,202 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 6 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$741$603 to $741
FacilityA hospital or hospital-owned outpatient department$1,202$741 to $3,802

How much rates vary

Facilitymedian $1,202 · 10th to 90th $741 to $4,786Professionalmedian $741 · 10th to 90th $447 to $741
$500.0$1.0K$2.0K$5.0Kfacility $1,202professional $741

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
$741.31
Median
$741.31
Typical High
$1,862.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$602.56
Typical High
$602.56
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$4,786.30
Typical High
$5,128.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$478.63
Typical High
$707.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$891.25
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$1,862.09
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$602.56
Typical High
$741.31
United
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$741.31
Typical High
$1,122.02

Where Maine sits

The same service costs 3.7 times more in Alaska than in Wyoming. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Maine $741 · 17th of 51
AK $1,660WY $447

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.