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Single-Gene Molecular Test

Massachusetts 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?

$107

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $107 for this service. The price depends on where it is billed: about $100 from a physician practice, and about $200 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$100$100 to $158
FacilityA hospital or hospital-owned outpatient department$200$158 to $288

How much rates vary

Facilitymedian $200 · 10th to 90th $110 to $331Professionalmedian $100 · 10th to 90th $78 to $251
$100$200$500$1K$2K$5Kfacility $200professional $100

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
$100.00
Median
$173.78
Typical High
$295.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$158.49
Typical High
$302.00
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$316.23
Typical High
$660.69
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$100.00
Typical High
$295.12
BCBS
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$199.53
Typical High
$323.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$141.25
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$109.65
Typical High
$263.03
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$3,630.78
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$144.54
Typical High
$173.78
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$181.97
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$316.23
Typical High
$660.69
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$100.00
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$100.00
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$100.00
Typical High
$229.09

Where Massachusetts 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.

Massachusetts· 26th of 51

$107

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.