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Single-Gene Molecular Test

Illinois 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?

$85.11

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $85.11 for this service. The price depends on where it is billed: about $83.18 from a physician practice, and about $158 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$83.18$69.18 to $120
FacilityA hospital or hospital-owned outpatient department$158$105 to $209

How much rates vary

Facilitymedian $158 · 10th to 90th $87 to $275Professionalmedian $83 · 10th to 90th $3 to $174
$5$20$100$500facility $158professional $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
$83.18
Median
$158.49
Typical High
$208.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$87.10
Typical High
$186.21
BCBS
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$354.81
Typical High
$1,258.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$69.18
Typical High
$77.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$213.80
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$123.03
Typical High
$169.82
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$181.97
Typical High
$323.59
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$60.26
Typical High
$100.00

Where Illinois 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.

Illinois· 44th of 51

$85.11

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.