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Single-Gene Genetic Test

Indiana 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?

$251

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $251 for this service. The price depends on where it is billed: about $141 from a physician practice, and about $339 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$141$70.79 to $309
FacilityA hospital or hospital-owned outpatient department$339$302 to $676

How much rates vary

Facilitymedian $339 · 10th to 90th $269 to $1,023Professionalmedian $141 · 10th to 90th $71 to $501
$100$200$500$1K$2Kfacility $339professional $141

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
$275.42
Median
$501.19
Typical High
$1,258.93
Aetna
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$275.42
Typical High
$501.19
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$125.89
Median
$138.04
Typical High
$251.19
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$50.12
Median
$54.95
Typical High
$102.33
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$338.84
Typical High
$1,023.29
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$70.79
Typical High
$501.19
Cigna
Setting
Facility
Modifier
None
Typical Low
$208.93
Median
$338.84
Typical High
$954.99
Cigna
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$302.00
Typical High
$645.65
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$218.78
Median
$851.14
Typical High
$2,187.76
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$288.40
Typical High
$512.86
United
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$204.17
Typical High
$407.38

Where Indiana 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.

Indiana· 32nd of 51

$251

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.