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Single-Gene Genetic Test

Washington, DC 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?

$447

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

Insurers have agreed to pay about $447 for this service. The price depends on where it is billed: about $447 from a physician practice, and about $447 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$447 to $447
FacilityA hospital or hospital-owned outpatient department$447$447 to $724

How much rates vary

Facilitymedian $447 · 10th to 90th $447 to $1,023Professionalmedian $447 · 10th to 90th $437 to $468
$500$1K$2Kfacility $447professional $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. 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
$446.68
Median
$446.68
Typical High
$446.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$467.74
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$575.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,023.29
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$691.83
Typical High
$2,691.53
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,047.13
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$724.44
Typical High
$724.44
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$269.15
Typical High
$562.34

Where Washington, DC 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.

Washington, DC· 47th of 51

$447

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.