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Single-Gene Molecular Test

Missouri 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 Missouri, July 2026.

Insurers have agreed to pay about $100 for this service. The price depends on where it is billed: about $87.10 from a physician practice, and about $132 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$87.10$60.26 to $120
FacilityA hospital or hospital-owned outpatient department$132$100 to $178

How much rates vary

Facilitymedian $132 · 10th to 90th $98 to $234Professionalmedian $87 · 10th to 90th $41 to $195
$50$100$200$500facility $132professional $87

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
$97.72
Median
$169.82
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$87.10
Typical High
$204.17
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$354.81
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$63.10
Typical High
$181.97
BCBS
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$147.91
Typical High
$263.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$100.00
Typical High
$112.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$199.53
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$79.43
Typical High
$144.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$120.23
Typical High
$660.69
Medica
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$60.26
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$100.00
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$60.26
Typical High
$138.04

Where Missouri 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.

Missouri· 32nd 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.