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Single-Gene Genetic Test

Missouri 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?

$324

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $324 for this service. The price depends on where it is billed: about $288 from a physician practice, and about $437 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$288$135 to $363
FacilityA hospital or hospital-owned outpatient department$437$339 to $589

How much rates vary

Facilitymedian $437 · 10th to 90th $295 to $776Professionalmedian $288 · 10th to 90th $74 to $589
$50$100$200$500$1Kfacility $437professional $288

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
$331.13
Median
$562.34
Typical High
$776.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$295.12
Typical High
$676.08
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$1,174.90
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$134.90
Typical High
$524.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$234.42
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$575.44
Typical High
$912.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$208.93
Typical High
$436.52
Medica
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$371.54
Typical High
$1,621.81
Medica
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$204.17
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$338.84
Typical High
$407.38
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$169.82
Typical High
$457.09

Where Missouri 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.

Missouri· 22nd of 51

$324

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.