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25-Gene Medication Response Test

New York 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?

$692

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $692 for this service. The price depends on where it is billed: about $692 from a physician practice, and about $1,288 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 8 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$692$490 to $692
FacilityA hospital or hospital-owned outpatient department$1,288$776 to $1,738

How much rates vary

Facilitymedian $1,288 · 10th to 90th $603 to $2,042Professionalmedian $692 · 10th to 90th $407 to $1,122
$200.0$1.0K$5.0K$20.0Kfacility $1,288professional $692

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
$602.56
Median
$1,318.26
Typical High
$2,041.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$575.44
Typical High
$630.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$1,621.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$3,548.13
Typical High
$3,548.13
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,230.27
Typical High
$2,818.38
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$912.01
Typical High
$1,412.54
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$741.31
Typical High
$1,318.26
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,412.54
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$741.31
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$1,122.02
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$446.68
Typical High
$1,023.29
Univera
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$758.58
Typical High
$851.14
Univera
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$741.31
Typical High
$1,778.28

Where New York 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.

New York $692 · 30th 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.