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Single-Gene Genetic Test

Utah 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?

$537

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $537 for this service. The price depends on where it is billed: about $537 from a physician practice, and about $2,884 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$537$513 to $537
FacilityA hospital or hospital-owned outpatient department$2,884$692 to $2,884

How much rates vary

Facilitymedian $2,884 · 10th to 90th $537 to $3,802Professionalmedian $537 · 10th to 90th $257 to $676
$500$1K$2Kfacility $2,884professional $537

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
$537.03
Median
$2,884.03
Typical High
$3,801.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$630.96
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$616.60
Typical High
$1,096.48
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$2,454.71
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$676.08
Select Health
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$524.81
Typical High
$891.25
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$602.56

Where Utah 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.

Utah· 34th of 51

$537

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.