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Single-Gene Genetic Test

Idaho 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 October 2026.

How much does Single-Gene Genetic Test cost?

$347

Typical negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $347 for this service. The price depends on where it is billed: about $339 from a physician practice, and about $501 from a hospital or other facility.

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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$339$288 to $501
FacilityA hospital or hospital-owned outpatient department$501$324 to $692

How much rates vary

Facilitymedian $501 · 10th to 90th $110 to $1,202Professionalmedian $339 · 10th to 90th $141 to $661
$20$50$100$200$500$1Kfacility $501professional $339

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Aetna
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$660.69
Typical High
$660.69
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$95.50
Median
$338.84
Typical High
$1,202.26
BCBS Idaho
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$338.84
Typical High
$346.74
Cigna
Setting
Facility
Modifier
None
Typical Low
$263.03
Median
$707.95
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$251.19
Typical High
$562.34
Moda Health
Setting
Facility
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$660.69
Moda Health
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$389.05
Typical High
$660.69
Molina
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$245.47
Typical High
$295.12
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$338.84
Median
$501.19
Typical High
$645.65
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$501.19
Typical High
$645.65
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$676.08
Typical High
$1,202.26
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$288.40
Typical High
$354.81
Select Health
Setting
Facility
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$436.52
Select Health
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$478.63
United
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$141.25
Typical High
$208.93
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
BCBS Idaho
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$234.42
Median
$239.88
Typical High
$239.88

Where Idaho sits

The same service costs 6.6 times more in Texas than in Kentucky. 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.

Idaho· 11th of 51

$347

TX $891KY $135

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.