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Single-Gene Molecular Test

South Carolina 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?

$81.28

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $81.28 for this service. The price depends on where it is billed: about $81.28 from a physician practice, and about $204 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$81.28$79.43 to $87.10
FacilityA hospital or hospital-owned outpatient department$204$79.43 to $324

How much rates vary

Facilitymedian $204 · 10th to 90th $79 to $479Professionalmedian $81 · 10th to 90th $66 to $123
$50$100$200$500$1Kfacility $204professional $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
$70.79
Median
$251.19
Typical High
$478.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$91.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$616.60
Typical High
$1,071.52
BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$154.88
Typical High
$234.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$302.00
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$54.95
Typical High
$123.03
Medcost
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$95.50
Typical High
$190.55
United
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$100.00
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$60.26
Typical High
$100.00

Where South Carolina 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.

South Carolina· 49th of 51

$81.28

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.