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Single-Gene Genetic Test

Arizona 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?

$479

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $479 for this service. The price depends on where it is billed: about $447 from a physician practice, and about $1,622 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$447$398 to $501
FacilityA hospital or hospital-owned outpatient department$1,622$708 to $2,399

How much rates vary

Facilitymedian $1,622 · 10th to 90th $457 to $2,630Professionalmedian $447 · 10th to 90th $251 to $692
$500$1K$2Kfacility $1,622professional $447

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
$707.95
Median
$2,137.96
Typical High
$2,630.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$446.68
Typical High
$691.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$1,737.80
Typical High
$3,162.28
BCBS
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$588.84
Typical High
$4,073.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$602.56
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$537.03
Typical High
$812.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$602.56
Typical High
$1,096.48
Medica
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$3,019.95
United
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$602.56
Typical High
$691.83
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$602.56

Where Arizona 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.

Arizona· 45th of 51

$479

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.