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Single-Gene Genetic Test

Oregon 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?

$372

Typical negotiated rate. In Oregon, October 2026.

Insurers have agreed to pay about $372 for this service. The price depends on where it is billed: about $339 from a physician practice, and about $501 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$339$263 to $407
FacilityA hospital or hospital-owned outpatient department$501$339 to $676

How much rates vary

Facilitymedian $501 · 10th to 90th $339 to $1,148Professionalmedian $339 · 10th to 90th $141 to $525
$100$200$500$1Kfacility $501professional $339

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
$851.14
Median
$851.14
Typical High
$1,513.56
Aetna
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$331.13
Typical High
$331.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$549.54
Median
$616.60
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$380.19
Typical High
$660.69
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$549.54
Median
$831.76
Typical High
$870.96
Moda Health
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$338.84
Typical High
$1,513.56
Moda Health
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$338.84
Typical High
$407.38
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$338.84
Median
$371.54
Typical High
$676.08
Pacific Source
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$338.84
Typical High
$371.54
Providence
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$489.78
Typical High
$1,000.00
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$371.54
Typical High
$501.19
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$660.69
Median
$1,148.15
Typical High
$1,445.44
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$288.40
Typical High
$407.38
United
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$501.19
Typical High
$537.03
United
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$141.25
Typical High
$354.81

Where Oregon 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.

Oregon· 10th of 51

$372

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.