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25-Gene Medication Response Test

Utah 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?

$661

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $661 for this service. The price depends on where it is billed: about $631 from a physician practice, and about $851 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$631$447 to $661
FacilityA hospital or hospital-owned outpatient department$851$661 to $3,631

How much rates vary

Facilitymedian $851 · 10th to 90th $661 to $4,677Professionalmedian $631 · 10th to 90th $309 to $741
$100$200$500$1K$2K$5Kfacility $851professional $631

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
$660.69
Median
$3,630.78
Typical High
$4,677.35
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$331.13
Median
$1,778.28
Typical High
$2,344.23
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$134.90
Median
$724.44
Typical High
$933.25
Aetna
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Cigna
Setting
Facility
Modifier
None
Typical Low
$645.65
Median
$812.83
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Molina
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$741.31
Median
$851.14
Typical High
$891.25
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$630.96
Median
$630.96
Typical High
$741.31
Select Health
Setting
Facility
Modifier
None
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$588.84
Median
$812.83
Typical High
$1,122.02
United
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$446.68
Typical High
$446.68

Where Utah 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.

Utah· 34th of 51

$661

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.