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Single-Gene Genetic Test

Montana 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?

$427

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $427 for this service. The price depends on where it is billed: about $427 from a physician practice, and about $457 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$427$339 to $661
FacilityA hospital or hospital-owned outpatient department$457$339 to $661

How much rates vary

Facilitymedian $457 · 10th to 90th $214 to $1,023Professionalmedian $427 · 10th to 90th $141 to $2,239
$100$200$500$1K$2Kfacility $457professional $427

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
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$2,238.72
BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$575.44
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$426.58
Typical High
$1,023.29
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$426.58
Typical High
$1,023.29
Providence
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$660.69
Typical High
$1,905.46
Providence
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$537.03
United
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$141.25
Typical High
$204.17

Where Montana 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.

Montana· 4th of 51

$427

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.