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Single-Gene Genetic Test

Kentucky 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?

$234

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $234 for this service. The price depends on where it is billed: about $129 from a physician practice, and about $339 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$129$70.79 to $269
FacilityA hospital or hospital-owned outpatient department$339$275 to $501

How much rates vary

Facilitymedian $339 · 10th to 90th $269 to $813Professionalmedian $129 · 10th to 90th $71 to $339
$50$100$200$500$1Kfacility $339professional $129

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
$269.15
Median
$275.42
Typical High
$812.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$269.15
Typical High
$407.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$338.84
Typical High
$354.81
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$125.89
CareSource
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$467.74
Typical High
$645.65
CareSource
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$436.52
Typical High
$562.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$660.69
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$1,621.81
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$338.84
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$128.82
Typical High
$269.15

Where Kentucky 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.

Kentucky· 47th of 51

$234

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.