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25-Gene Medication Response Test

Virginia 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 Virginia, 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 $1,122 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$589 to $832
FacilityA hospital or hospital-owned outpatient department$1,122$741 to $1,820

How much rates vary

Facilitymedian $1,122 · 10th to 90th $631 to $3,548Professionalmedian $692 · 10th to 90th $525 to $1,230
$500.0$1.0K$2.0K$5.0Kfacility $1,122professional $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
$630.96
Median
$1,412.54
Typical High
$1,819.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$630.96
Typical High
$1,412.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$3,890.45
Typical High
$4,677.35
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$1,174.90
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$630.96
Typical High
$676.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,819.70
Typical High
$3,801.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$812.83
Typical High
$1,047.13
Medcost
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$724.44
Typical High
$1,258.93
Medcost
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Sentara
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$870.96
Typical High
$1,698.24
Sentara
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$870.96
Typical High
$1,698.24
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
$371.54
Typical High
$851.14

Where Virginia 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.

Virginia $692 · 28th 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.