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Single-Gene Genetic Test

New Jersey 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?

$234

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $234 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $7,762 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$204$85.11 to $234
FacilityA hospital or hospital-owned outpatient department$7,762$794 to $16,982

How much rates vary

Facilitymedian $7,762 · 10th to 90th $339 to $23,988Professionalmedian $204 · 10th to 90th $66 to $269
$100$500$2K$10Kfacility $7,762professional $204

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
$66.07
Median
$66.07
Typical High
$85.11
Aetna
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$275.42
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$33.11
Median
$33.11
Typical High
$138.04
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$13.18
Median
$13.18
Typical High
$54.95
Cigna
Setting
Facility
Modifier
None
Typical Low
$389.05
Median
$933.25
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$263.03
Typical High
$478.63
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$446.68
Typical High
$489.78
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$4,570.88
Median
$15,488.17
Typical High
$26,915.35
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
United
Setting
Facility
Modifier
None
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
United
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$199.53
Typical High
$234.42

Where New Jersey 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.

New Jersey· 36th of 51

$234

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.