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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.

How much does Single-Gene Genetic Test cost?

$288

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $288 for this service. The price depends on where it is billed: about $234 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 9 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$234$135 to $355
FacilityA hospital or hospital-owned outpatient department$501$331 to $776

How much rates vary

Facilitymedian $501 · 10th to 90th $105 to $933Professionalmedian $234 · 10th to 90th $71 to $589
$50$100$200$500$1K$2Kfacility $501professional $234

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
$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

Where New York 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.

New York· 26th of 51

$288

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.