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Genetic Test for Changes in a Single Gene

Arkansas rates for HCPCS 81351

A laboratory test that examines DNA from a blood or tissue sample to look for changes in one specific gene. The result is used to help confirm a diagnosis, assess risk, or guide treatment decisions, and is normally interpreted alongside personal and family medical history.

Rates data updated July 2026.

How much does Genetic Test for Changes in a Single Gene cost?

$562

Typical negotiated rate. In Arkansas, July 2026.

Insurers have agreed to pay about $562 for this service. The price depends on where it is billed: about $550 from a physician practice, and about $813 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$550$427 to $617
FacilityA hospital or hospital-owned outpatient department$813$724 to $813

How much rates vary

Facilitymedian $813 · 10th to 90th $724 to $1,000Professionalmedian $550 · 10th to 90th $389 to $813
$500$1Kfacility $813professional $550

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
$812.83
Median
$812.83
Typical High
$1,122.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$549.54
Typical High
$812.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$1,000.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$794.33
Typical High
$794.33
CareSource
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$891.25
CareSource
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$645.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$831.76
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$588.84
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$741.31
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$389.05
Typical High
$645.65

Where Arkansas sits

The same service costs 3.4 times more in Alaska than in Delaware. 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.

Arkansas· 36th of 51

$562

AK $1,445DE $427

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.