go back

Single-Gene Molecular Test

South 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?

$117

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $117 for this service. The price depends on where it is billed: about $100 from a physician practice, and about $195 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 6 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$67.61 to $204
FacilityA hospital or hospital-owned outpatient department$195$195 to $195

How much rates vary

Facilitymedian $195 · 10th to 90th $115 to $195Professionalmedian $100 · 10th to 90th $50 to $245
$50$100$200$500facility $195professional $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
$70.79
Median
$114.82
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$67.61
Typical High
$95.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$194.98
Typical High
$245.47
Medica
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$114.82
Typical High
$630.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$501.19
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$234.42
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$60.26
Typical High
$134.90
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00

Where South 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.

South Dakota· 21st of 51

$117

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.