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Single-Gene Genetic Test

Michigan 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?

$324

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $324 for this service. The price depends on where it is billed: about $324 from a physician practice, and about $324 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$324$251 to $380
FacilityA hospital or hospital-owned outpatient department$324$324 to $398

How much rates vary

Facilitymedian $324 · 10th to 90th $251 to $589Professionalmedian $324 · 10th to 90th $78 to $525
$10$20$50$100$200$500$1Kfacility $324professional $324

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
Facility
Modifier
None
Typical Low
$323.59
Median
$323.59
Typical High
$501.19
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$162.18
Median
$162.18
Typical High
$251.19
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$64.57
Median
$64.57
Typical High
$100.00
Aetna
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$331.13
Typical High
$338.84
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$154.88
Median
$165.96
Typical High
$169.82
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$61.66
Median
$66.07
Typical High
$67.61
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$10.96
Median
$251.19
Typical High
$251.19
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$251.19
Typical High
$251.19
Cigna
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$154.88
Typical High
$457.09
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$323.59
Median
$323.59
Typical High
$1,380.38
Health Alliance Plan
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$162.18
Median
$162.18
Typical High
$251.19
Health Alliance Plan
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$64.57
Median
$64.57
Typical High
$100.00
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$457.09
Typical High
$630.96
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Priority Health
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$154.88
Typical High
$457.09
United
Setting
Facility
Modifier
None
Typical Low
$204.17
Median
$302.00
Typical High
$407.38
United
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$77.62
Typical High
$204.17

Where Michigan 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.

Michigan· 18th of 51

$324

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.