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Single-Gene Genetic Test

Nebraska 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?

$389

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $389 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $501 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$224$224 to $813
FacilityA hospital or hospital-owned outpatient department$501$339 to $891

How much rates vary

Facilitymedian $501 · 10th to 90th $224 to $1,148Professionalmedian $224 · 10th to 90th $204 to $2,239
$100$200$500$1K$2Kfacility $501professional $224

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
$275.42
Median
$794.33
Typical High
$1,202.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$2,238.72
BCBS
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$380.19
Typical High
$851.14
BCBS
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$524.81
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$645.65
Typical High
$812.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$288.40
Typical High
$1,621.81
Medica
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$204.17
Typical High
$676.08
Midlands
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$323.59
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$204.17
Typical High
$389.05

Where Nebraska 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.

Nebraska· 8th of 51

$389

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.