go back

Single-Gene Genetic Test

Maryland 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 Maryland, July 2026.

Insurers have agreed to pay about $447 for this service. Most negotiated rates run $389 to $513.

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 $251 · 10th to 90th $251 to $457Professionalmedian $447 · 10th to 90th $269 to $724
$500$1K$2Kfacility $251professional $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
Professional
Modifier
Global
Typical Low
$389.05
Median
$446.68
Typical High
$575.44
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$537.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$371.54
Typical High
$1,047.13
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$724.44
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$269.15
Typical High
$524.81
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00

Where Maryland 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.

Maryland· 49th 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.