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Single-Gene Molecular Test

North Dakota 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?

$155

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $155 for this service. Most negotiated rates run $95.50 to $204.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $72 · 10th to 90th $71 to $182Professionalmedian $170 · 10th to 90th $71 to $229
$100$200facility $72professional $170

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
$70.79
Median
$70.79
Typical High
$181.97
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$302.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$194.98
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$144.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$77.62
Typical High
$181.97
Medica
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$120.23
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$102.33
Typical High
$154.88

Where North Dakota 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.

North Dakota· 6th of 51

$155

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.