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Single-Gene Genetic Test

Illinois 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?

$324

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $324 for this service. The price depends on where it is billed: about $275 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 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$275$263 to $398
FacilityA hospital or hospital-owned outpatient department$525$347 to $692

How much rates vary

Facilitymedian $525 · 10th to 90th $275 to $1,000Professionalmedian $275 · 10th to 90th $78 to $631
$100$200$500$1K$2Kfacility $525professional $275

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
$275.42
Median
$524.81
Typical High
$707.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$275.42
Typical High
$630.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$1,174.90
Typical High
$4,265.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$263.03
Typical High
$263.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$707.95
Typical High
$1,548.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$389.05
Typical High
$575.44
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$478.63
Typical High
$707.95
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$338.84
Typical High
$676.08
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$141.25
Typical High
$338.84

Where Illinois 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.

Illinois· 20th of 51

$324

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.