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Single-Gene Genetic Test

Tennessee 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?

$269

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $269 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $427 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 5 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$263$224 to $302
FacilityA hospital or hospital-owned outpatient department$427$302 to $1,122

How much rates vary

Facilitymedian $427 · 10th to 90th $251 to $1,445Professionalmedian $263 · 10th to 90th $129 to $407
$100$200$500$1K$2Kfacility $427professional $263

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
$251.19
Median
$512.86
Typical High
$1,445.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$269.15
Typical High
$389.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$128.82
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$602.56
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$186.21
Typical High
$457.09
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,621.81
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,511.89
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$338.84
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$141.25
Typical High
$302.00

Where Tennessee 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.

Tennessee· 37th of 51

$269

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.