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Single-Gene Genetic Test

Montana 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?

$813

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $813 for this service. The price depends on where it is billed: about $759 from a physician practice, and about $891 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$759$692 to $1,175
FacilityA hospital or hospital-owned outpatient department$891$759 to $1,778

How much rates vary

Facilitymedian $891 · 10th to 90th $603 to $3,715Professionalmedian $759 · 10th to 90th $251 to $3,981
$500$2K$10K$50Kfacility $891professional $759

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
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$3,981.07
BCBS
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$3,715.35
Typical High
$87,096.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,023.29
Typical High
$3,388.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$870.96
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$776.25
Typical High
$1,819.70
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$776.25
Typical High
$1,819.70
Providence
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,174.90
Typical High
$3,388.44
Providence
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$954.99
United
Setting
Facility
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 Montana 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.

Montana· 5th of 51

$813

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.