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Single-Gene Genetic Test

Hawaii 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?

$759

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $759 for this service. Most negotiated rates run $603 to $871.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $589 · 10th to 90th $490 to $724Professionalmedian $776 · 10th to 90th $603 to $1,047
$500$1Kfacility $589professional $776

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
$489.78
Median
$588.84
Typical High
$724.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$724.44
HMSA
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$776.25
Typical High
$870.96
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$724.44
Typical High
$891.25
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$602.56
Typical High
$724.44
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$891.25
Typical High
$1,348.96

Where Hawaii 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.

Hawaii· 6th of 51

$759

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.