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Single-Gene Molecular Test

Idaho 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?

$102

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $102 for this service. The price depends on where it is billed: about $102 from a physician practice, and about $151 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 8 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$102$95.50 to $120
FacilityA hospital or hospital-owned outpatient department$151$100 to $229

How much rates vary

Facilitymedian $151 · 10th to 90th $100 to $288Professionalmedian $102 · 10th to 90th $71 to $195
$50$100$200facility $151professional $102

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
$181.97
Median
$263.03
Typical High
$263.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$117.49
Typical High
$194.98
BCBS
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$177.83
Typical High
$363.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$102.33
Typical High
$102.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$208.93
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$165.96
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$158.49
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$102.33
Typical High
$125.89
Molina
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$87.10
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$194.98
Typical High
$363.08
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$107.15
Select Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$131.83
Select Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$100.00

Where Idaho 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.

Idaho· 28th of 51

$102

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.