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25-Gene Medication Response Test

New Jersey 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?

$525

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $525 for this service. The price depends on where it is billed: about $490 from a physician practice, and about $2,818 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$490$389 to $525
FacilityA hospital or hospital-owned outpatient department$2,818$1,622 to $18,621

How much rates vary

Facilitymedian $2,818 · 10th to 90th $741 to $23,988Professionalmedian $490 · 10th to 90th $347 to $603
$200$500$1K$2K$5K$10K$20Kfacility $2,818professional $490

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
$389.05
Median
$489.78
Typical High
$977.24
Aetna
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$389.05
Typical High
$630.96
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$194.98
Median
$194.98
Typical High
$316.23
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$79.43
Median
$79.43
Typical High
$125.89
Cigna
Setting
Facility
Modifier
None
Typical Low
$851.14
Median
$1,621.81
Typical High
$2,818.38
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$776.25
Median
$977.24
Typical High
$1,071.52
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$5,495.41
Median
$18,197.01
Typical High
$27,542.29
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
United
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$446.68
Typical High
$741.31

Where New Jersey 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.

New Jersey· 43rd of 51

$525

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.