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Single-Gene Genetic Test

New Mexico 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?

$204

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $141 from a physician practice, and about $302 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$141$54.95 to $380
FacilityA hospital or hospital-owned outpatient department$302$219 to $1,096

How much rates vary

Facilitymedian $302 · 10th to 90th $219 to $1,122Professionalmedian $141 · 10th to 90th $55 to $490
$100$200$500$1Kfacility $302professional $141

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$251.19
Median
$1,096.48
Typical High
$1,122.02
Aetna
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$407.38
Typical High
$407.38
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$275.42
Typical High
$316.23
Cigna
Setting
Facility
Modifier
None
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Cigna
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$302.00
Typical High
$758.58
Molina
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
Providence
Setting
Facility
Modifier
None
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Providence
Setting
Professional
Modifier
None
Typical Low
$302.00
Median
$446.68
Typical High
$489.78
United
Setting
Facility
Modifier
None
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
United
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$128.82
Typical High
$204.17

Where New Mexico 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 Mexico· 40th of 51

$204

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.