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Single-Gene Molecular Test

Maryland 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?

$81.28

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $81.28 for this service. Most negotiated rates run $61.66 to $93.33.

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 $646 · 10th to 90th $43 to $646Professionalmedian $81 · 10th to 90th $46 to $158
$50$100$200$500facility $646professional $81

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$83.18
Typical High
$158.49
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$91.20
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$66.07
Typical High
$251.19
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$120.23
Typical High
$151.36
United
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$77.62
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$45.71
Typical High
$89.13
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$81.28
Typical High
$81.28

Where Maryland 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.

Maryland· 48th of 51

$81.28

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.