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Single-Gene Molecular Test

Washington 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?

$112

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $112 for this service. The price depends on where it is billed: about $100 from a physician practice, and about $151 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 10 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$91.20 to $151
FacilityA hospital or hospital-owned outpatient department$151$100 to $234

How much rates vary

Facilitymedian $151 · 10th to 90th $100 to $427Professionalmedian $100 · 10th to 90th $60 to $251
$50$100$200$500facility $151professional $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
$95.50
Median
$223.87
Typical High
$549.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$95.50
Typical High
$660.69
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$125.89
Typical High
$275.42
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$100.00
Typical High
$134.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$223.87
Typical High
$331.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$107.15
Typical High
$138.04
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$120.23
Typical High
$346.74
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$123.03
Typical High
$281.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$204.17
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$120.23
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$177.83
Typical High
$316.23
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$120.23
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$151.36
Typical High
$275.42
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$100.00
Typical High
$134.90
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$120.23
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$120.23
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$100.00
Typical High
$181.97

Where Washington 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.

Washington· 23rd of 51

$112

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.