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SMN1 And SMN2 Test For Spinal Muscular Atrophy

New Jersey rates for HCPCS 0236U

Tests for spinal muscular atrophy, an inherited condition that weakens the muscles used for movement and breathing, by analyzing two neighboring genes, SMN1 and SMN2, together. The pair are examined in one analysis because they sit side by side and closely resemble each other.

Rates data updated July 2026.

How much does SMN1 And SMN2 Test For Spinal Muscular Atrophy cost?

$513

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $513 for this service. The price depends on where it is billed: about $468 from a physician practice, and about $977 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 5 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$331 to $513
FacilityA hospital or hospital-owned outpatient department$977$794 to $2,754

How much rates vary

Facilitymedian $977 · 10th to 90th $603 to $6,026Professionalmedian $468 · 10th to 90th $316 to $603
$200$500$1K$2K$5K$10K$20Kfacility $977professional $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
$776.25
Median
$794.33
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$478.63
Typical High
$602.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,318.26
Typical High
$1,412.54
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$794.33
Typical High
$1,318.26
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$9,120.11
Typical High
$25,118.86
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$602.56
Typical High
$1,230.27
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$363.08
Typical High
$616.60

Where New Jersey sits

The same service costs 4.3 times more in Alaska than in Delaware. 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· 31st of 51

$513

AK $1,349DE $316

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.