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Single-Gene Genetic Test

New York 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.

Facilitymedian $501 · 10th–90th $105$9330%10%10th90th$501Professionalmedian $234 · 10th–90th $71$5890%10%20%10th90th$234$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$562.34
Typical High
$933.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$275.42
Typical High
$602.56
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$870.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$501.19
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$338.84
Typical High
$338.84
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$338.84
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$724.44
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$407.38
Typical High
$1,621.81
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$338.84
Typical High
$758.58
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$281.84
Typical High
$602.56
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$323.59
Typical High
$398.11
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$436.52
Typical High
$1,778.28
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$338.84
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$338.84
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$245.47
Typical High
$645.65
Univera
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$354.81
Univera
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$323.59
Typical High
$676.08