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Single-Gene Genetic Test

Florida 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?

$437

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $437 for this service. The price depends on where it is billed: about $417 from a physician practice, and about $977 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 7 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$417$363 to $513
FacilityA hospital or hospital-owned outpatient department$977$537 to $1,698

How much rates vary

Facilitymedian $977 · 10th to 90th $437 to $2,951Professionalmedian $417 · 10th to 90th $316 to $603
$10$50$200$1Kfacility $977professional $417

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
$436.52
Median
$977.24
Typical High
$3,235.94
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$416.87
Typical High
$537.03
AvMed
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$602.56
Typical High
$707.95
AvMed
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$602.56
Typical High
$602.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$501.19
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$426.58
Typical High
$1,023.29
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$512.86
Molina
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$537.03
Typical High
$602.56
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$257.04
Typical High
$794.33
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$602.56
Typical High
$602.56

Where Florida 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.

Florida· 50th of 51

$437

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.