go back

Single-Gene Genetic Test

Michigan 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?

$575

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $575 for this service. The price depends on where it is billed: about $490 from a physician practice, and about $575 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 6 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$490$417 to $575
FacilityA hospital or hospital-owned outpatient department$575$575 to $1,047

How much rates vary

Facilitymedian $575 · 10th to 90th $575 to $1,047Professionalmedian $490 · 10th to 90th $324 to $708
$500$1K$2Kfacility $575professional $490

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
$575.44
Median
$575.44
Typical High
$1,047.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$575.44
Typical High
$707.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$416.87
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$512.86
Typical High
$912.01
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$602.56
Typical High
$1,412.54
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$602.56
Typical High
$812.83
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$724.44
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$602.56
Typical High
$724.44
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$363.08
Typical High
$602.56

Where Michigan 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.

Michigan· 28th of 51

$575

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.