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DNA Test Of A Single Gene

New York rates for HCPCS 81284

A laboratory test that reads the DNA of one gene from a patient sample and reports the changes found in it. It is ordered when attention is already on a particular gene, and the result is read alongside the clinical picture.

Rates data updated July 2026.

How much does DNA Test Of A Single Gene cost?

$138

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $138 for this service. The price depends on where it is billed: about $112 from a physician practice, and about $219 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 9 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$112$74.13 to $166
FacilityA hospital or hospital-owned outpatient department$219$138 to $316

How much rates vary

Facilitymedian $219 · 10th to 90th $95 to $380Professionalmedian $112 · 10th to 90th $55 to $269
$100.0$1.0K$10.0K$100.0Kfacility $219professional $112

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
$112.20
Median
$234.42
Typical High
$380.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$112.20
Typical High
$245.47
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$354.81
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$275.42
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$138.04
Typical High
$138.04
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$223.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$295.12
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$169.82
Typical High
$501.19
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$173.78
Typical High
$380.19
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$114.82
Typical High
$263.03
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$128.82
Typical High
$162.18
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$257.04
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$138.04
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$138.04
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$117.49
Typical High
$309.03
Univera
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$100.00
Typical High
$151.36
Univera
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$128.82
Typical High
$245.47

Where New York sits

The same service costs 3.4 times more in Alaska than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New York $138 · 21st of 51
AK $309DE $91.20

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.