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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 October 2026.

How much does Single-Gene Genetic Test cost?

$339

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $339 for this service. The price depends on where it is billed: about $339 from a physician practice, and about $380 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$339$224 to $646
FacilityA hospital or hospital-owned outpatient department$380$380 to $646

How much rates vary

Facilitymedian $380 · 10th to 90th $234 to $646Professionalmedian $339 · 10th to 90th $129 to $813
$100$200$500$1Kfacility $380professional $339

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$234.42
Median
$234.42
Typical High
$380.19
Aetna
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$223.87
Typical High
$316.23
Cigna
Setting
Facility
Modifier
None
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Cigna
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$645.65
Typical High
$812.83
Medica
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$380.19
Typical High
$380.19
Medica
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$204.17
Typical High
$616.60
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$794.33
Typical High
$933.25
United
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$204.17
Typical High
$302.00
Wellmark
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$338.84

Where South Dakota 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.

South Dakota· 13th of 51

$339

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.