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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 October 2026.

How much does Single-Gene Molecular Test cost?

$100

Typical negotiated rate. In Tennessee, October 2026.

Insurers have agreed to pay about $100 for this service. Most negotiated rates run $60.26 to $224.

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.

How much rates vary

Facilitymedian $209 · 10th to 90th $76 to $309Professionalmedian $91 · 10th to 90th $46 to $759
$50$100$200$500facility $209professional $91

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$75.86
Median
$81.28
Typical High
$154.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$79.43
Typical High
$102.33
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$38.02
Median
$39.81
Typical High
$57.54
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$15.14
Median
$15.85
Typical High
$23.44
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$100.00
Typical High
$123.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$93.33
Median
$208.93
Typical High
$316.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$54.95
Typical High
$138.04
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$501.19
Median
$758.58
Typical High
$758.58
United
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$60.26
Typical High
$112.20

Where Tennessee sits

The same service costs 4.1 times more in Kentucky than in New Mexico. 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· 28th of 51

$100

KY $245NM $60.26

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.