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Single-Gene Molecular Test

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $85.11 for this service. The price depends on where it is billed: about $75.86 from a physician practice, and about $107 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 8 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$75.86$45.71 to $85.11
FacilityA hospital or hospital-owned outpatient department$107$100 to $224

How much rates vary

Facilitymedian $107 · 10th to 90th $87 to $479Professionalmedian $76 · 10th to 90th $41 to $186
$50$200$1K$5Kfacility $107professional $76

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
$213.80
Typical High
$398.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$85.11
Typical High
$173.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$407.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$67.61
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$851.14
Typical High
$1,288.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$251.19
Typical High
$457.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$63.10
Typical High
$169.82
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$112.20
Typical High
$141.25
Medcost
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$134.90
Typical High
$446.68
Medcost
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$213.80
Typical High
$446.68
Sentara
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$144.54
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$144.54
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$100.00
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$51.29
Typical High
$117.49

Where Virginia 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.

Virginia· 45th 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.