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Single-Gene Molecular Test

Tennessee 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?

$85.11

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $85.11 for this service. The price depends on where it is billed: about $79.43 from a physician practice, and about $155 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$79.43$75.86 to $107
FacilityA hospital or hospital-owned outpatient department$155$91.20 to $339

How much rates vary

Facilitymedian $155 · 10th to 90th $76 to $437Professionalmedian $79 · 10th to 90th $60 to $123
$20$50$100$200$500facility $155professional $79

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
$75.86
Median
$154.88
Typical High
$436.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$79.43
Typical High
$120.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$100.00
Typical High
$123.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$213.80
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$63.10
Typical High
$138.04
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$758.58
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$100.00
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$60.26
Typical High
$120.23

Where Tennessee 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.

Tennessee· 43rd of 51

$85.11

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.