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Single-Gene Genetic Test

Arkansas 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?

$525

Typical negotiated rate. In Arkansas, July 2026.

Insurers have agreed to pay about $525 for this service. The price depends on where it is billed: about $513 from a physician practice, and about $759 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$513$398 to $575
FacilityA hospital or hospital-owned outpatient department$759$676 to $759

How much rates vary

Facilitymedian $759 · 10th to 90th $676 to $933Professionalmedian $513 · 10th to 90th $363 to $759
$500$1Kfacility $759professional $513

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
$758.58
Median
$758.58
Typical High
$1,047.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$512.86
Typical High
$758.58
BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$933.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$891.25
Typical High
$891.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$891.25
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$537.03
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$691.83
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$363.08
Typical High
$602.56

Where Arkansas 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.

Arkansas· 35th of 51

$525

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.