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DNA Test Of A Single Gene

Ohio 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 October 2026.

How much does DNA Test Of A Single Gene cost?

$110

Typical negotiated rate. In Ohio, October 2026.

Insurers have agreed to pay about $110 for this service. The price depends on where it is billed: about $74.13 from a physician practice, and about $170 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$74.13$54.95 to $129
FacilityA hospital or hospital-owned outpatient department$170$141 to $234

How much rates vary

Facilitymedian $170 · 10th to 90th $123 to $331Professionalmedian $74 · 10th to 90th $55 to $219
$50$100$200$500facility $170professional $74

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$257.04
Typical High
$346.74
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$64.57
Median
$125.89
Typical High
$173.78
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$25.70
Median
$51.29
Typical High
$69.18
Aetna
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$109.65
Typical High
$380.19
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$54.95
Median
$54.95
Typical High
$190.55
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$21.88
Median
$21.88
Typical High
$77.62
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$112.20
Median
$158.49
Typical High
$251.19
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$199.53
CareSource
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Cigna
Setting
Facility
Modifier
None
Typical Low
$134.90
Median
$165.96
Typical High
$562.34
Cigna
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$63.10
Typical High
$194.98
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$147.91
Median
$169.82
Typical High
$562.34
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$63.10
Typical High
$186.21
Molina
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$123.03
Typical High
$169.82
SummaCare
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$169.82
Typical High
$218.78
United
Setting
Facility
Modifier
None
Typical Low
$48.98
Median
$123.03
Typical High
$204.17
United
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$81.28
Typical High
$194.98

Where Ohio sits

The same service costs 5.2 times more in Texas than in Alabama. 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.

Ohio· 38th of 51

$110

TX $331AL $63.10

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.