go back

Single-Gene Genetic Test

Georgia 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?

$269

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $269 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $331 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 6 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 $316
FacilityA hospital or hospital-owned outpatient department$331$224 to $457

How much rates vary

Facilitymedian $331 · 10th to 90th $145 to $617Professionalmedian $224 · 10th to 90th $105 to $468
$50$100$200$500$1Kfacility $331professional $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
$177.83
Median
$269.15
Typical High
$724.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$288.40
Typical High
$371.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$371.54
Typical High
$467.74
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$141.25
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$549.54
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$213.80
Typical High
$891.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$436.52
Typical High
$741.31
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$416.87
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$302.00
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$141.25
Typical High
$407.38

Where Georgia 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.

Georgia· 34th of 51

$269

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.