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Single-Gene Molecular Test

Montana 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?

$126

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $151 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$126$100 to $195
FacilityA hospital or hospital-owned outpatient department$151$126 to $195

How much rates vary

Facilitymedian $151 · 10th to 90th $100 to $309Professionalmedian $126 · 10th to 90th $50 to $661
$50$100$200$500facility $151professional $126

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
Professional
Modifier
Global
Typical Low
$50.12
Median
$117.49
Typical High
$660.69
BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$173.78
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$151.36
Typical High
$309.03
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$151.36
Typical High
$309.03
Providence
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$194.98
Typical High
$575.44
Providence
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$162.18
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$100.00

Where Montana 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.

Montana· 14th of 51

$126

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.