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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 October 2026.

How much does Single-Gene Genetic Test cost?

$490

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $490 for this service. The price depends on where it is billed: about $457 from a physician practice, and about $575 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$457$204 to $490
FacilityA hospital or hospital-owned outpatient department$575$501 to $631

How much rates vary

Facilitymedian $575 · 10th to 90th $457 to $776Professionalmedian $457 · 10th to 90th $141 to $603
$100$200$500$1Kfacility $575professional $457

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
$389.05
Median
$389.05
Typical High
$389.05
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
Cigna
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$501.19
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$389.05
Median
$575.44
Typical High
$676.08
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$575.44
Typical High
$616.60
Providence
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$501.19
Typical High
$1,905.46
Providence
Setting
Professional
Modifier
None
Typical Low
$302.00
Median
$302.00
Typical High
$489.78
United
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$141.25
Typical High
$338.84

Where Montana 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.

Montana· 4th of 51

$490

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.