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Single-Gene Genetic Test

Idaho 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?

$617

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $617 for this service. The price depends on where it is billed: about $617 from a physician practice, and about $832 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 8 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$617$562 to $724
FacilityA hospital or hospital-owned outpatient department$832$603 to $1,288

How much rates vary

Facilitymedian $832 · 10th to 90th $437 to $1,820Professionalmedian $617 · 10th to 90th $417 to $1,175
$500$1K$2Kfacility $832professional $617

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
$436.52
Typical High
$1,548.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$691.83
Typical High
$1,174.90
BCBS
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$1,122.02
Typical High
$2,137.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$616.60
Typical High
$616.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$1,258.93
Typical High
$2,344.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$446.68
Typical High
$1,000.00
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$870.96
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$616.60
Typical High
$758.58
Molina
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$512.86
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,202.26
Typical High
$2,137.96
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$630.96
Select Health
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$776.25
Select Health
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$602.56

Where Idaho 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.

Idaho· 15th of 51

$617

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.