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Single-Gene Molecular Test

Washington, DC 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?

$75.86

Typical negotiated rate. In Washington, DC, July 2026.

Insurers have agreed to pay about $75.86 for this service. The price depends on where it is billed: about $75.86 from a physician practice, and about $75.86 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$75.86$74.13 to $79.43
FacilityA hospital or hospital-owned outpatient department$75.86$75.86 to $120

How much rates vary

Facilitymedian $76 · 10th to 90th $76 to $170Professionalmedian $76 · 10th to 90th $74 to $229
$50$100$200$500$1K$2Kfacility $76professional $76

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$75.86
Typical High
$79.43
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$575.44
Typical High
$2,041.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$169.82
Typical High
$389.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$128.82
Typical High
$457.09
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$177.83
Typical High
$204.17
United
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$120.23
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$45.71
Typical High
$95.50

Where Washington, DC 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.

Washington, DC· 51st of 51

$75.86

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.