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Single-Gene Molecular Test

Colorado rates for HCPCS 81252

A laboratory test that examines the DNA of one gene in a sample from the patient and reports whether particular changes are present. It is ordered when a specific gene is in question, and the result is read together with the clinical findings.

Rates data updated July 2026.

How much does Single-Gene Molecular Test cost?

$135

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $135 for this service. The price depends on where it is billed: about $77.62 from a physician practice, and about $245 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 7 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$77.62$63.10 to $95.50
FacilityA hospital or hospital-owned outpatient department$245$135 to $417

How much rates vary

Facilitymedian $245 · 10th to 90th $78 to $513Professionalmedian $78 · 10th to 90th $43 to $158
$50$100$200$500facility $245professional $78

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
$63.10
Median
$223.87
Typical High
$478.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$77.62
Typical High
$158.49
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$302.00
Typical High
$512.86
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$131.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$66.07
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$53.70
Typical High
$147.91
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$100.00
Typical High
$154.88
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$144.54
Typical High
$269.15
Select Health
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$186.21
Typical High
$213.80
Select Health
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$100.00
Typical High
$151.36
United
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$100.00
Typical High
$151.36
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$60.26

Where Colorado sits

The same service costs 3.0 times more in Alaska than in Washington, DC. 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.

Colorado· 11th of 51

$135

AK $229DC $75.86

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.