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Single-Gene Genetic Test

Arizona 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 July 2026.

How much does Single-Gene Genetic Test cost?

$251

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $251 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $513 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 5 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$224$141 to $269
FacilityA hospital or hospital-owned outpatient department$513$240 to $1,288

How much rates vary

Facilitymedian $513 · 10th to 90th $195 to $1,479Professionalmedian $224 · 10th to 90th $66 to $389
$100$200$500$1K$2Kfacility $513professional $224

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
$194.98
Median
$512.86
Typical High
$1,479.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$223.87
Typical High
$389.05
BCBS
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$977.24
Typical High
$1,778.28
BCBS
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$331.13
Typical High
$2,290.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$331.13
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$302.00
Typical High
$1,318.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$338.84
Typical High
$588.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$141.25
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$338.84
Typical High
$389.05
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$141.25
Typical High
$204.17

Where Arizona sits

The same service costs 8.3 times more in Alaska than in Vermont. 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.

Arizona· 43rd of 51

$251

AK $759VT $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.