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Single-Gene Molecular Test

Ohio 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?

$93.33

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $93.33 for this service. The price depends on where it is billed: about $81.28 from a physician practice, and about $138 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 8 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$81.28$54.95 to $100
FacilityA hospital or hospital-owned outpatient department$138$100 to $224

How much rates vary

Facilitymedian $138 · 10th to 90th $83 to $245Professionalmedian $81 · 10th to 90th $41 to $224
$50$100$200$500facility $138professional $81

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
$81.28
Median
$181.97
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$83.18
Typical High
$229.09
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$107.15
Typical High
$186.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$52.48
Typical High
$190.55
CareSource
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
CareSource
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$131.83
Typical High
$562.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$89.13
Typical High
$229.09
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$131.83
Typical High
$416.87
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$54.95
Typical High
$199.53
Molina
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$91.20
Typical High
$109.65
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$112.20
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$100.00
Typical High
$151.36
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$60.26
Typical High
$141.25

Where Ohio 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.

Ohio· 37th of 51

$93.33

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.