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Single-Gene Genetic Test

New Hampshire 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 New Hampshire, July 2026.

Insurers have agreed to pay about $603 for this service. The price depends on where it is billed: about $603 from a physician practice, and about $1,514 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 5 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$603$417 to $603
FacilityA hospital or hospital-owned outpatient department$1,514$1,122 to $2,455

How much rates vary

Facilitymedian $1,514 · 10th to 90th $832 to $3,467Professionalmedian $603 · 10th to 90th $389 to $1,122
$500$1K$2Kfacility $1,514professional $603

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
$831.76
Median
$1,513.56
Typical High
$4,168.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$467.74
Typical High
$489.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,174.90
Typical High
$3,467.37
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$562.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$2,187.76
Typical High
$2,630.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$616.60
Typical High
$1,737.80
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$602.56
Typical High
$1,659.59

Where New Hampshire 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.

New Hampshire· 23rd 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.