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Single-Gene Genetic Test

West 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?

$269

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $269 for this service. The price depends on where it is billed: about $269 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 4 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$269$224 to $288
FacilityA hospital or hospital-owned outpatient department$427$275 to $501

How much rates vary

Facilitymedian $427 · 10th to 90th $275 to $661Professionalmedian $269 · 10th to 90th $204 to $288
$100$200$500$1Kfacility $427professional $269

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
$275.42
Median
$426.58
Typical High
$501.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$269.15
Typical High
$288.40
CareSource
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
CareSource
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$660.69
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$1,621.81
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$389.05
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$128.82
Typical High
$204.17

Where West 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.

West Virginia· 36th 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.