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Gene Test For One Specific Exon Of A Blood Gene

West Virginia rates for HCPCS 81339

This test examines one specific exon, a coding segment of a gene, that is linked to disorders affecting how the bone marrow produces blood cells. Rather than scanning the whole gene, it focuses on this particular exon most relevant to these conditions. Results can help identify a genetic change that may be contributing to the condition.

Rates data updated July 2026.

How much does Gene Test For One Specific Exon Of A Blood Gene cost?

$151

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $151 for this service. The price depends on where it is billed: about $148 from a physician practice, and about $275 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 5 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$148$138 to $158
FacilityA hospital or hospital-owned outpatient department$275$151 to $603

How much rates vary

Facilitymedian $275 · 10th to 90th $151 to $603Professionalmedian $148 · 10th to 90th $123 to $158
$100$200$500$1Kfacility $275professional $148

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
$151.36
Median
$275.42
Typical High
$602.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$147.91
Typical High
$158.49
CareSource
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
CareSource
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$269.15
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$891.25
Typical High
$891.25
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$93.33
Typical High
$204.17

Where West Virginia sits

The same service costs 3.0 times more in Alaska than in Florida. 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· 45th of 51

$151

AK $417FL $138

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.