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Single-Gene Molecular Test

New Jersey 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?

$158

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $158 for this service. The price depends on where it is billed: about $100 from a physician practice, and about $324 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 5 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$79.43 to $158
FacilityA hospital or hospital-owned outpatient department$324$138 to $724

How much rates vary

Facilitymedian $324 · 10th to 90th $117 to $9,333Professionalmedian $100 · 10th to 90th $60 to $158
$50$200$1K$5K$20Kfacility $324professional $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
$128.82
Median
$389.05
Typical High
$1,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$141.25
Typical High
$158.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$223.87
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$107.15
Typical High
$223.87
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$107.15
Typical High
$162.18
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$100.00
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$60.26
Typical High
$107.15

Where New Jersey 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.

New Jersey· 5th of 51

$158

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.