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Single-Gene Genetic Test

Tennessee 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?

$490

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $490 for this service. The price depends on where it is billed: about $479 from a physician practice, and about $912 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$479$447 to $603
FacilityA hospital or hospital-owned outpatient department$912$537 to $1,995

How much rates vary

Facilitymedian $912 · 10th to 90th $447 to $2,570Professionalmedian $479 · 10th to 90th $309 to $724
$200$500$1K$2K$5Kfacility $912professional $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
$446.68
Median
$912.01
Typical High
$2,570.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$478.63
Typical High
$691.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$602.56
Typical High
$602.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$1,258.93
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$331.13
Typical High
$831.76
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$4,466.84
Typical High
$4,466.84
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$602.56
Typical High
$602.56
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$363.08
Typical High
$602.56

Where Tennessee 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.

Tennessee· 40th of 51

$490

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.