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Cystic Fibrosis Gene Test, Common Changes

Washington, DC rates for HCPCS 81220

This is a genetic test that checks for the most common changes in the gene linked to cystic fibrosis, an inherited condition that affects the lungs and digestive system. It is often used for carrier screening during family planning or pregnancy, as well as to help confirm a diagnosis.

Rates data updated July 2026.

How much does Cystic Fibrosis Gene Test, Common Changes cost?

$417

Typical negotiated rate. In Washington, DC, July 2026.

Insurers have agreed to pay about $417 for this service. The price depends on where it is billed: about $417 from a physician practice, and about $417 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$417$407 to $437
FacilityA hospital or hospital-owned outpatient department$417$417 to $661

How much rates vary

Facilitymedian $417 · 10th to 90th $417 to $933Professionalmedian $417 · 10th to 90th $407 to $891
$500$1K$2K$5Kfacility $417professional $417

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$416.87
Typical High
$436.52
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$1,698.24
Typical High
$6,025.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$933.25
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$707.95
Typical High
$2,511.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$977.24
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$660.69
Typical High
$4,168.69
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$251.19
Typical High
$691.83

Where Washington, DC sits

The same service costs 3.4 times more in Alaska than in Minnesota. 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.

Washington, DC· 49th of 51

$417

AK $1,259MN $372

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.