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Single-Gene Molecular Test

New York 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?

$112

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $112 for this service. The price depends on where it is billed: about $100 from a physician practice, and about $174 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 9 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$60.26 to $158
FacilityA hospital or hospital-owned outpatient department$174$107 to $234

How much rates vary

Facilitymedian $174 · 10th to 90th $91 to $275Professionalmedian $100 · 10th to 90th $41 to $209
$50$100$200$500facility $174professional $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
$177.83
Typical High
$275.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$100.00
Typical High
$181.97
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$263.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$204.17
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$100.00
Typical High
$100.00
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$186.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$213.80
Typical High
$660.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$138.04
Typical High
$489.78
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$120.23
Typical High
$275.42
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$85.11
Typical High
$190.55
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$95.50
Typical High
$181.97
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$204.17
Typical High
$524.81
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$208.93
United
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$100.00
Typical High
$151.36
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$85.11
Typical High
$245.47
Univera
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$107.15
Typical High
$107.15
Univera
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$95.50
Typical High
$239.88

Where New York 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 York· 24th of 51

$112

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.