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Single-Gene Genetic Test

Texas 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?

$891

Typical negotiated rate. In Texas, October 2026.

Insurers have agreed to pay about $891 for this service. The price depends on where it is billed: about $1,698 from a physician practice, and about $562 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 10 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,698$204 to $2,512
FacilityA hospital or hospital-owned outpatient department$562$269 to $891

How much rates vary

Facilitymedian $562 · 10th to 90th $191 to $1,549Professionalmedian $1,698 · 10th to 90th $141 to $2,512
$10$50$200$1Kfacility $562professional $1,698

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
$223.87
Median
$489.78
Typical High
$1,819.70
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$112.20
Median
$245.47
Typical High
$912.01
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$44.67
Median
$97.72
Typical High
$363.08
Aetna
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$208.93
Typical High
$288.40
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$102.33
Median
$104.71
Typical High
$144.54
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$40.74
Median
$41.69
Typical High
$57.54
BCBS
Setting
Professional
Modifier
None
Typical Low
$5.01
Median
$186.21
Typical High
$223.87
Cigna
Setting
Facility
Modifier
None
Typical Low
$93.33
Median
$630.96
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$213.80
Typical High
$575.44
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$1,698.24
Median
$2,511.89
Typical High
$2,511.89
Moda Health
Setting
Facility
Modifier
None
Typical Low
$213.80
Median
$398.11
Typical High
$1,698.24
Moda Health
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$128.82
Median
$245.47
Typical High
$912.01
Moda Health
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$51.29
Median
$97.72
Typical High
$363.08
Moda Health
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$208.93
Typical High
$316.23
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$102.33
Median
$104.71
Typical High
$134.90
Moda Health
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$40.74
Median
$41.69
Typical High
$53.70
Molina
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$281.84
Typical High
$338.84
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$363.08
Typical High
$724.44
Providence
Setting
Facility
Modifier
None
Typical Low
$204.17
Median
$630.96
Typical High
$1,318.26
Providence
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$239.88
Typical High
$575.44
United
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$141.25
Typical High
$338.84
United
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$141.25
Typical High
$204.17
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$338.84
Typical High
$457.09

Where Texas 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.

Texas· 1st of 51

$891

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.