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Single-Gene Genetic Test

Virginia 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?

$288

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $288 for this service. The price depends on where it is billed: about $251 from a physician practice, and about $355 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 8 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$251$135 to $288
FacilityA hospital or hospital-owned outpatient department$355$339 to $741

How much rates vary

Facilitymedian $355 · 10th to 90th $288 to $1,514Professionalmedian $251 · 10th to 90th $135 to $575
$100$200$500$1K$2K$5K$10Kfacility $355professional $251

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
$288.40
Median
$645.65
Typical High
$1,258.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$288.40
Typical High
$575.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$1,348.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$229.09
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$263.03
Typical High
$331.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$660.69
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$204.17
Typical High
$346.74
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$371.54
Typical High
$467.74
Medcost
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$302.00
Typical High
$575.44
Medcost
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$177.83
Typical High
$707.95
Sentara
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$407.38
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$407.38
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$338.84
Typical High
$407.38
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$147.91
Typical High
$245.47

Where Virginia 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.

Virginia· 27th of 51

$288

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.