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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 July 2026.

How much does Single-Gene Genetic Test cost?

$339

Typical negotiated rate. In Maine, 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 $525 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 6 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$275 to $339
FacilityA hospital or hospital-owned outpatient department$525$339 to $661

How much rates vary

Facilitymedian $525 · 10th to 90th $339 to $851Professionalmedian $339 · 10th to 90th $170 to $339
$100$200$500$1Kfacility $525professional $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
$338.84
Median
$338.84
Typical High
$1,513.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$275.42
Typical High
$338.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$616.60
Typical High
$660.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$173.78
Typical High
$218.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$338.84
Typical High
$338.84
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$407.38
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$1,513.56
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$338.84
Typical High
$371.54
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$316.23
Typical High
$524.81

Where Maine 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.

Maine· 19th 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.