go back

Single-Gene Genetic Test

Maine 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?

$275

Typical negotiated rate. In Maine, October 2026.

Insurers have agreed to pay about $275 for this service. Most negotiated rates run $195 to $339.

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 $447 · 10th to 90th $324 to $692Professionalmedian $204 · 10th to 90th $123 to $339
$100$200$500$1K$2Kfacility $447professional $204

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
Professional
Modifier
None
Typical Low
$70.79
Median
$275.42
Typical High
$275.42
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$323.59
Median
$446.68
Typical High
$691.83
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$173.78
Typical High
$218.78
Cigna
Setting
Facility
Modifier
None
Typical Low
$537.03
Median
$537.03
Typical High
$758.58
Cigna
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$338.84
Typical High
$338.84
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$204.17
Typical High
$338.84
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
United
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$204.17
Typical High
$223.87

Where Maine 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.

Maine· 23rd of 51

$275

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.