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Single-Gene Molecular Test

Georgia 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?

$93.33

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $93.33 for this service. The price depends on where it is billed: about $83.18 from a physician practice, and about $115 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$83.18$60.26 to $97.72
FacilityA hospital or hospital-owned outpatient department$115$85.11 to $135

How much rates vary

Facilitymedian $115 · 10th to 90th $68 to $186Professionalmedian $83 · 10th to 90th $43 to $166
$50$100$200facility $115professional $83

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
$67.61
Median
$93.33
Typical High
$331.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$85.11
Typical High
$112.20
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$114.82
Typical High
$141.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$95.50
Typical High
$190.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$165.96
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$107.15
Typical High
$302.00
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$131.83
Typical High
$794.33
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$123.03
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$91.20
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$60.26
Typical High
$131.83

Where Georgia 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.

Georgia· 38th of 51

$93.33

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.