go back

Single-Gene Genetic Test

Connecticut 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?

$263

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $490 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$204$81.28 to $288
FacilityA hospital or hospital-owned outpatient department$490$339 to $692

How much rates vary

Facilitymedian $490 · 10th to 90th $178 to $933Professionalmedian $204 · 10th to 90th $71 to $427
$100$200$500$1K$2Kfacility $490professional $204

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
$338.84
Median
$489.78
Typical High
$933.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$173.78
Typical High
$288.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$524.81
Typical High
$912.01
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$134.90
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$537.03
Typical High
$1,230.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$371.54
Typical High
$691.83
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$354.81
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$204.17
Typical High
$562.34

Where Connecticut 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.

Connecticut· 41st of 51

$263

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.