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Single-Gene Genetic Test

Washington, DC 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 Washington, DC, July 2026.

Insurers have agreed to pay about $251 for this service. The price depends on where it is billed: about $251 from a physician practice, and about $251 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$251$251 to $251
FacilityA hospital or hospital-owned outpatient department$251$251 to $407

How much rates vary

Facilitymedian $251 · 10th to 90th $251 to $575Professionalmedian $251 · 10th to 90th $204 to $263
$100$200$500$1Kfacility $251professional $251

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$263.03
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$245.47
Typical High
$512.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$575.44
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$389.05
Typical High
$1,548.82
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$588.84
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$407.38
Typical High
$407.38
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$151.36
Typical High
$234.42

Where Washington, DC 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.

Washington, DC· 44th 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.