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Single-Gene Genetic Test

Ohio 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?

$245

Typical negotiated rate. In Ohio, October 2026.

Insurers have agreed to pay about $245 for this service. The price depends on where it is billed: about $155 from a physician practice, and about $427 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$155$135 to $269
FacilityA hospital or hospital-owned outpatient department$427$347 to $575

How much rates vary

Facilitymedian $427 · 10th to 90th $309 to $759Professionalmedian $155 · 10th to 90th $135 to $468
$100$200$500$1Kfacility $427professional $155

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
$316.23
Median
$602.56
Typical High
$851.14
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$158.49
Median
$302.00
Typical High
$426.58
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$63.10
Median
$120.23
Typical High
$169.82
Aetna
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$269.15
Typical High
$724.44
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$134.90
Median
$134.90
Typical High
$363.08
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$53.70
Median
$53.70
Typical High
$144.54
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$275.42
Median
$389.05
Typical High
$616.60
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$134.90
Typical High
$426.58
CareSource
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
Cigna
Setting
Facility
Modifier
None
Typical Low
$331.13
Median
$407.38
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$154.88
Typical High
$457.09
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$363.08
Median
$416.87
Typical High
$1,380.38
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$154.88
Typical High
$457.09
Molina
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$302.00
Typical High
$416.87
SummaCare
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$416.87
Typical High
$537.03
United
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$302.00
Typical High
$501.19
United
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$204.17
Typical High
$478.63

Where Ohio 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.

Ohio· 34th of 51

$245

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.