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Single-Gene Genetic Test

South Dakota 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?

$933

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $933 for this service. The price depends on where it is billed: about $794 from a physician practice, and about $1,148 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$794$468 to $1,413
FacilityA hospital or hospital-owned outpatient department$1,148$933 to $1,148

How much rates vary

Facilitymedian $1,148 · 10th to 90th $676 to $1,148Professionalmedian $794 · 10th to 90th $398 to $1,445
$500$1Kfacility $1,148professional $794

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
$416.87
Median
$933.25
Typical High
$933.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$467.74
Typical High
$562.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
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
$562.34
Median
$676.08
Typical High
$1,096.48
Medica
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$3,019.95
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,412.54
Typical High
$1,659.59
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$363.08
Typical High
$794.33
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56

Where South Dakota 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.

South Dakota· 2nd of 51

$933

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.