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Single-Gene Molecular Test

Utah 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 Utah, July 2026.

Insurers have agreed to pay about $117 for this service. The price depends on where it is billed: about $95.50 from a physician practice, and about $158 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$95.50$85.11 to $158
FacilityA hospital or hospital-owned outpatient department$158$117 to $204

How much rates vary

Facilitymedian $158 · 10th to 90th $105 to $204Professionalmedian $95 · 10th to 90th $47 to $158
$50$100$200$500facility $158professional $95

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
$158.49
Median
$158.49
Typical High
$204.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$104.71
Typical High
$281.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$104.71
Typical High
$213.80
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$117.49
Typical High
$407.38
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$114.82
Select Health
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$89.13
Typical High
$151.36
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$100.00

Where Utah 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.

Utah· 20th 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.