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Single-Gene Genetic Test

Utah 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?

$204

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $186 from a physician practice, and about $363 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$186$66.07 to $288
FacilityA hospital or hospital-owned outpatient department$363$66.07 to $407

How much rates vary

Facilitymedian $363 · 10th to 90th $66 to $1,175Professionalmedian $186 · 10th to 90th $60 to $347
$100$200$500$1Kfacility $363professional $186

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
$66.07
Median
$66.07
Typical High
$66.07
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$33.11
Median
$107.15
Typical High
$141.25
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$13.18
Median
$42.66
Typical High
$56.23
Aetna
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Cigna
Setting
Facility
Modifier
None
Typical Low
$295.12
Median
$363.08
Typical High
$977.24
Cigna
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$346.74
Typical High
$616.60
Molina
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$165.96
Typical High
$186.21
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$338.84
Median
$389.05
Typical High
$1,380.38
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$288.40
Typical High
$302.00
Select Health
Setting
Facility
Modifier
None
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$269.15
Typical High
$501.19
United
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$141.25
Typical High
$204.17

Where Utah 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.

Utah· 38th of 51

$204

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.