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Single-Gene Genetic Test

Nebraska 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?

$603

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $603 for this service. The price depends on where it is billed: about $398 from a physician practice, and about $933 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$398$398 to $1,585
FacilityA hospital or hospital-owned outpatient department$933$537 to $1,585

How much rates vary

Facilitymedian $933 · 10th to 90th $363 to $1,820Professionalmedian $398 · 10th to 90th $363 to $3,981
$200$500$1K$2Kfacility $933professional $398

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
$426.58
Median
$1,584.89
Typical High
$2,951.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$3,981.07
BCBS
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,148.15
Typical High
$2,238.72
BCBS
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$933.25
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,148.15
Typical High
$1,445.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$891.25
Typical High
$2,818.38
Medica
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$363.08
Typical High
$1,737.80
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$575.44
Typical High
$602.56
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$363.08
Typical High
$1,659.59

Where Nebraska 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.

Nebraska· 22nd of 51

$603

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.