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Single-Gene Genetic Test

Oregon 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 Oregon, 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 $661 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$603$562 to $871
FacilityA hospital or hospital-owned outpatient department$661$603 to $1,122

How much rates vary

Facilitymedian $661 · 10th to 90th $603 to $1,549Professionalmedian $603 · 10th to 90th $513 to $1,175
$500$1K$2Kfacility $661professional $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
$776.25
Median
$1,122.02
Typical High
$2,691.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$575.44
Typical High
$1,698.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,548.82
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$660.69
Typical High
$1,047.13
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,288.25
Typical High
$1,584.89
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$602.56
Typical High
$831.76
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$660.69
Typical High
$831.76
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$1,202.26
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$1,202.26
Providence
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$831.76
Typical High
$1,737.80
Providence
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$660.69
Typical High
$891.25
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,778.28
Typical High
$2,344.23
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$512.86
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$724.44

Where Oregon 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.

Oregon· 21st 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.