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Single-Gene Genetic Test

California 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?

$741

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $741 for this service. The price depends on where it is billed: about $575 from a physician practice, and about $1,413 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 11 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$575$447 to $1,047
FacilityA hospital or hospital-owned outpatient department$1,413$955 to $2,570

How much rates vary

Facilitymedian $1,413 · 10th to 90th $513 to $3,548Professionalmedian $575 · 10th to 90th $251 to $3,020
$100$200$500$1K$2K$5Kfacility $1,413professional $575

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
$741.31
Median
$1,348.96
Typical High
$3,548.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$512.86
Typical High
$3,981.07
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$1,548.82
Typical High
$3,019.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$741.31
Typical High
$1,584.89
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$2,570.40
Typical High
$6,025.60
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$831.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$1,096.48
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$407.38
Typical High
$1,737.80
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$660.69
Typical High
$812.83
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$660.69
Typical High
$1,047.13
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$4,466.84
Typical High
$4,466.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Providence
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$724.44
Typical High
$1,778.28
Providence
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$630.96
Typical High
$1,230.27
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$602.56
Typical High
$691.83
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$1,318.26

Where California 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.

California· 8th of 51

$741

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.