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Single-Gene Genetic Test

Iowa 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?

$339

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $339 for this service. The price depends on where it is billed: about $295 from a physician practice, and about $525 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 8 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$295$263 to $513
FacilityA hospital or hospital-owned outpatient department$525$339 to $794

How much rates vary

Facilitymedian $525 · 10th to 90th $263 to $977Professionalmedian $295 · 10th to 90th $204 to $2,239
$100$200$500$1K$2Kfacility $525professional $295

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
$263.03
Median
$776.25
Typical High
$977.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$295.12
Typical High
$2,238.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$645.65
Typical High
$812.83
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$467.74
Typical High
$588.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$407.38
Typical High
$870.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$275.42
Typical High
$933.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$446.68
Typical High
$446.68
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$363.08
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$741.31
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$204.17
Typical High
$512.86
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84

Where Iowa 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.

Iowa· 16th of 51

$339

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.