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25-Gene Medication Response Test

Texas 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?

$562

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $562 for this service. The price depends on where it is billed: about $468 from a physician practice, and about $891 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 9 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$468$447 to $562
FacilityA hospital or hospital-owned outpatient department$891$562 to $1,380

How much rates vary

Facilitymedian $891 · 10th to 90th $447 to $3,236Professionalmedian $468 · 10th to 90th $309 to $741
$100$200$500$1K$2K$5Kfacility $891professional $468

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
$446.68
Median
$891.25
Typical High
$3,162.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$467.74
Typical High
$588.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$1,479.11
Typical High
$3,311.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$1,071.52
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$5,623.41
Typical High
$5,623.41
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$741.31
Typical High
$1,148.15
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$741.31
Typical High
$933.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$794.33
Typical High
$1,584.89
Providence
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$741.31
Typical High
$2,041.74
Providence
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$776.25
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$741.31
Typical High
$891.25
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$741.31
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$741.31
Typical High
$1,000.00

Where Texas sits

The same service costs 3.7 times more in Alaska than in Wyoming. 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.

Texas· 43rd of 51

$562

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.