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Single-Gene Molecular Test

Maine 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?

$100

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $100 for this service. The price depends on where it is billed: about $100 from a physician practice, and about $162 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 6 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$81.28 to $100
FacilityA hospital or hospital-owned outpatient department$162$100 to $457

How much rates vary

Facilitymedian $162 · 10th to 90th $100 to $1,698Professionalmedian $100 · 10th to 90th $60 to $120
$50$100$200$500$1Kfacility $162professional $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
$100.00
Typical High
$457.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$81.28
Typical High
$100.00
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$1,698.24
Typical High
$1,819.70
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$60.26
Typical High
$239.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$100.00
Typical High
$102.33
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$120.23
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$457.09
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$100.00
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$100.00
Typical High
$154.88

Where Maine 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.

Maine· 30th of 51

$100

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.