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Genetic Test for Changes in a Single Gene

Arizona 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?

$513

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $513 for this service. The price depends on where it is billed: about $479 from a physician practice, and about $977 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$479$427 to $537
FacilityA hospital or hospital-owned outpatient department$977$646 to $1,950

How much rates vary

Facilitymedian $977 · 10th to 90th $447 to $2,570Professionalmedian $479 · 10th to 90th $269 to $741
$500$1K$2Kfacility $977professional $479

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
$676.08
Median
$977.24
Typical High
$2,570.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$478.63
Typical High
$741.31
BCBS
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$1,862.09
Typical High
$3,388.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$630.96
Typical High
$4,365.16
Cigna
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$537.03
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$575.44
Typical High
$912.01
Medica
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$645.65
Typical High
$1,174.90
Medica
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$3,162.28
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$645.65
Typical High
$741.31
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$645.65

Where Arizona 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.

Arizona· 46th of 51

$513

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.