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25-Gene Medication Response Test

Montana 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?

$1,072

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $1,072 for this service. The price depends on where it is billed: about $1,000 from a physician practice, and about $1,122 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$1,000$309 to $1,072
FacilityA hospital or hospital-owned outpatient department$1,122$1,072 to $1,288

How much rates vary

Facilitymedian $1,122 · 10th to 90th $813 to $1,445Professionalmedian $1,000 · 10th to 90th $309 to $1,349
$500$1K$2Kfacility $1,122professional $1,000

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
$302.00
Median
$302.00
Typical High
$302.00
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$812.83
Median
$1,122.02
Typical High
$1,445.44
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$1,122.02
Typical High
$1,348.96
Providence
Setting
Facility
Modifier
None
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Providence
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$1,071.52
Typical High
$1,071.52
United
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$741.31

Where Montana 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.

Montana· 4th of 51

$1,072

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.