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Single-Gene Molecular Test

Hawaii 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?

$138

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $138 for this service. Most negotiated rates run $120 to $200.

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.

How much rates vary

Facilitymedian $100 · 10th to 90th $83 to $120Professionalmedian $162 · 10th to 90th $112 to $224
$100$200facility $100professional $162

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
$83.18
Median
$100.00
Typical High
$120.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
HMSA
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$199.53
Typical High
$223.87
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$120.23
Typical High
$151.36
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$100.00
Typical High
$120.23
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$147.91
Typical High
$229.09

Where Hawaii 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.

Hawaii· 9th of 51

$138

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.