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Single-Gene Molecular Test

West 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?

$83.18

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $83.18 for this service. The price depends on where it is billed: about $81.28 from a physician practice, and about $126 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 4 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$81.28$74.13 to $85.11
FacilityA hospital or hospital-owned outpatient department$126$83.18 to $151

How much rates vary

Facilitymedian $126 · 10th to 90th $83 to $195Professionalmedian $81 · 10th to 90th $68 to $85
$50$100$200$500facility $126professional $81

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
$83.18
Median
$125.89
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$81.28
Typical High
$85.11
CareSource
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
CareSource
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$302.00
Typical High
$660.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$489.78
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$117.49
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$50.12
Typical High
$112.20

Where West 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.

West Virginia· 47th of 51

$83.18

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.