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Single-Gene Genetic Test

South Dakota 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?

$501

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $501 for this service. The price depends on where it is billed: about $389 from a physician practice, and about $646 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 6 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$389$263 to $794
FacilityA hospital or hospital-owned outpatient department$646$537 to $646

How much rates vary

Facilitymedian $646 · 10th to 90th $363 to $646Professionalmedian $389 · 10th to 90th $224 to $891
$100$200$500$1Kfacility $646professional $389

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
$234.42
Median
$380.19
Typical High
$380.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$263.03
Typical High
$316.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$645.65
Typical High
$812.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$363.08
Typical High
$616.60
Medica
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$141.25
Typical High
$1,698.24
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$794.33
Typical High
$933.25
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$194.98
Typical High
$389.05
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84

Where South Dakota 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.

South Dakota· 2nd of 51

$501

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.