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Single-Gene Genetic Test

Ohio 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?

$513

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $513 for this service. The price depends on where it is billed: about $479 from a physician practice, and about $813 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 8 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$479$309 to $575
FacilityA hospital or hospital-owned outpatient department$813$603 to $1,259

How much rates vary

Facilitymedian $813 · 10th to 90th $490 to $1,349Professionalmedian $479 · 10th to 90th $240 to $1,023
$200$500$1K$2Kfacility $813professional $479

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
$489.78
Median
$1,023.29
Typical High
$1,445.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$478.63
Typical High
$1,348.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$630.96
Typical High
$1,096.48
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$309.03
Typical High
$812.83
CareSource
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
CareSource
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$794.33
Typical High
$3,019.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$446.68
Typical High
$1,202.26
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$794.33
Typical High
$3,311.31
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$446.68
Typical High
$1,148.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$537.03
Typical High
$645.65
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$724.44
Typical High
$1,380.38
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$602.56
Typical High
$891.25
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$363.08
Typical High
$831.76

Where Ohio 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.

Ohio· 38th of 51

$513

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.