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Single-Gene Molecular Test

Florida 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?

$89.13

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $89.13 for this service. The price depends on where it is billed: about $81.28 from a physician practice, and about $186 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$81.28$70.79 to $158
FacilityA hospital or hospital-owned outpatient department$186$91.20 to $288

How much rates vary

Facilitymedian $186 · 10th to 90th $76 to $501Professionalmedian $81 · 10th to 90th $51 to $158
$10$20$50$100$200$500facility $186professional $81

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
$75.86
Median
$173.78
Typical High
$549.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$83.18
Typical High
$158.49
AvMed
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$100.00
Typical High
$120.23
AvMed
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$100.00
Typical High
$100.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$131.83
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$83.18
Typical High
$181.97
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$102.33
Molina
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$74.13
Typical High
$123.03
United
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$91.20
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$42.66
Typical High
$134.90
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$100.00
Typical High
$100.00

Where Florida 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.

Florida· 41st of 51

$89.13

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.