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Single-Gene Genetic Test

Alabama rates for HCPCS 81249

Examination in a specialist laboratory of the DNA of one gene taken from a patient sample, reported as whether particular changes are present in that gene. The finding supports a diagnosis or a treatment decision rather than answering the question by itself.

Rates data updated July 2026.

How much does Single-Gene Genetic Test cost?

$603

Typical negotiated rate. In Alabama, July 2026.

Insurers have agreed to pay about $603 for this service. The price depends on where it is billed: about $468 from a physician practice, and about $692 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 4 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$363 to $692
FacilityA hospital or hospital-owned outpatient department$692$603 to $708

How much rates vary

Facilitymedian $692 · 10th to 90th $537 to $891Professionalmedian $468 · 10th to 90th $363 to $692
$500$1Kfacility $692professional $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
$602.56
Median
$691.83
Typical High
$933.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$467.74
Typical High
$691.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$660.69
Typical High
$891.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$389.05
Typical High
$575.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$512.86
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$275.42
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$537.03
Typical High
$602.56
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$602.56

Where Alabama 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.

Alabama· 20th of 51

$603

AK $1,349DE $398

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.