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Single-Gene Genetic Test

Nevada 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?

$562

Typical negotiated rate. In Nevada, July 2026.

Insurers have agreed to pay about $562 for this service. The price depends on where it is billed: about $468 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$468$339 to $692
FacilityA hospital or hospital-owned outpatient department$933$501 to $3,236

How much rates vary

Facilitymedian $933 · 10th to 90th $468 to $3,236Professionalmedian $468 · 10th to 90th $240 to $1,230
$50$100$200$500$1K$2K$5Kfacility $933professional $468

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
$467.74
Median
$1,148.15
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$467.74
Typical High
$3,981.07
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$501.19
Typical High
$1,445.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$602.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$707.95
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$338.84
Typical High
$870.96
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$602.56
Typical High
$912.01
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Select Health
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Select Health
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$602.56
Typical High
$891.25
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$363.08
Typical High
$660.69

Where Nevada 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.

Nevada· 31st of 51

$562

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.