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Single-Gene Genetic Test

Maryland 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?

$251

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $251 for this service. Most negotiated rates run $182 to $282.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $141 · 10th to 90th $141 to $257Professionalmedian $251 · 10th to 90th $66 to $355
$100$200$500$1K$2Kfacility $141professional $251

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$251.19
Typical High
$302.00
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$208.93
Typical High
$588.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$407.38
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$151.36
Typical High
$234.42
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$269.15
Typical High
$269.15

Where Maryland 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.

Maryland· 42nd of 51

$251

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.