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Single-Gene Genetic Test

Vermont 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?

$200

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $200 for this service. Most negotiated rates run $91.20 to $389.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $339 · 10th to 90th $339 to $562Professionalmedian $195 · 10th to 90th $66 to $741
$100$200$500$1Kfacility $339professional $195

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
Professional
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$91.20
Cigna
Setting
Facility
Modifier
None
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Cigna
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$398.11
Typical High
$758.58
MVP Health Care
Setting
Facility
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$338.84
United
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$204.17
Typical High
$741.31

Where Vermont 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.

Vermont· 44th of 51

$200

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.