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Single Gene Analysis

Idaho rates for HCPCS 81204

Reads one particular gene in a sample and reports which versions of it the person carries. Testing focuses on that single gene rather than scanning broadly, so it answers a specific question that has already been narrowed down by symptoms, family history, or earlier testing.

Rates data updated July 2026.

How much does Single Gene Analysis cost?

$141

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $141 for this service. The price depends on where it is billed: about $141 from a physician practice, and about $234 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$141$129 to $166
FacilityA hospital or hospital-owned outpatient department$234$138 to $309

How much rates vary

Facilitymedian $234 · 10th to 90th $138 to $417Professionalmedian $141 · 10th to 90th $95 to $269
$100$200$500facility $234professional $141

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
$245.47
Median
$281.84
Typical High
$354.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$158.49
Typical High
$269.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$263.03
Typical High
$489.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$141.25
Typical High
$141.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$281.84
Typical High
$537.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$102.33
Typical High
$229.09
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$199.53
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$141.25
Typical High
$169.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$117.49
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$275.42
Typical High
$489.78
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$144.54
Select Health
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$177.83
Select Health
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$138.04

Where Idaho sits

The same service costs 3.4 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.

Idaho· 14th of 51

$141

AK $309DE $91.20

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.