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Single-Gene Genetic Test

Arkansas rates for HCPCS 81296

A DNA test that focuses on one gene rather than scanning many at once. It is run in a specialist laboratory on a sample taken from the patient, and the finding contributes to a diagnosis or to a treatment decision.

Rates data updated October 2026.

How much does Single-Gene Genetic Test cost?

$389

Typical negotiated rate. In Arkansas, October 2026.

Insurers have agreed to pay about $389 for this service. The price depends on where it is billed: about $288 from a physician practice, and about $389 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$288$170 to $427
FacilityA hospital or hospital-owned outpatient department$389$389 to $437

How much rates vary

Facilitymedian $389 · 10th to 90th $302 to $525Professionalmedian $288 · 10th to 90th $78 to $427
$100$200$500facility $389professional $288

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
$426.58
Median
$426.58
Typical High
$512.86
Aetna
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$426.58
Typical High
$426.58
BCBS Arkansas
Setting
Facility
Modifier
None
Typical Low
$389.05
Median
$389.05
Typical High
$524.81
BCBS Arkansas
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$426.58
Typical High
$426.58
Cigna
Setting
Facility
Modifier
None
Typical Low
$109.65
Median
$269.15
Typical High
$630.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$67.61
Typical High
$501.19
United
Setting
Facility
Modifier
None
Typical Low
$302.00
Median
$302.00
Typical High
$338.84
United
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$141.25
Typical High
$204.17
2 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$134.90
Median
$213.80
Typical High
$213.80
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$53.70
Median
$85.11
Typical High
$85.11

Where Arkansas sits

The same service costs 6.6 times more in Texas than in Kentucky. 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.

Arkansas· 8th of 51

$389

TX $891KY $135

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.