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Hearing Loss Gene, Common Changes

Illinois rates for HCPCS 81254

Checks a gene linked to hearing loss that is present from birth, looking for the specific changes seen most often rather than reading the whole gene. It is generally run together with testing of a closely related gene, since changes in either one can cause the same kind of hearing loss.

Rates data updated July 2026.

Facilitymedian $55 · 10th–90th $30$950%10%10th90th$55Professionalmedian $30 · 10th–90th $26$710%20%40%10th90th$30$5.0$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$54.95
Typical High
$72.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.84
Typical High
$64.57
BCBS
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$123.03
Typical High
$436.52
BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$26.92
Typical High
$26.92
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$91.20
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$42.66
Typical High
$58.88
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$120.23
Typical High
$263.03
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
United
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$70.79
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$20.89
Typical High
$34.67