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Single-Gene Genetic Test

Massachusetts 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 Massachusetts, July 2026.

Insurers have agreed to pay about $339 for this service. The price depends on where it is billed: about $339 from a physician practice, and about $589 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$339$204 to $339
FacilityA hospital or hospital-owned outpatient department$589$339 to $871

How much rates vary

Facilitymedian $589 · 10th to 90th $251 to $1,000Professionalmedian $339 · 10th to 90th $78 to $794
$100$200$500$1K$2Kfacility $589professional $339

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
$91.20
Median
$489.78
Typical High
$1,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$91.20
Typical High
$1,023.29
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$354.81
Typical High
$1,047.13
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$316.23
Typical High
$1,122.02
BCBS
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$676.08
Typical High
$977.24
BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$331.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$263.03
Typical High
$660.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$323.59
Typical High
$870.96
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$3,630.78
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$489.78
Typical High
$575.44
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$562.34
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$354.81
Typical High
$1,047.13
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$316.23
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$302.00
Typical High
$389.05
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$338.84
Typical High
$660.69

Where Massachusetts 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.

Massachusetts· 17th 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.