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Genetic Test for Changes in a Single Gene

Washington, DC 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?

$479

Typical negotiated rate. In Washington, DC, July 2026.

Insurers have agreed to pay about $479 for this service. The price depends on where it is billed: about $479 from a physician practice, and about $479 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$479 to $479
FacilityA hospital or hospital-owned outpatient department$479$479 to $776

How much rates vary

Facilitymedian $479 · 10th to 90th $479 to $1,096Professionalmedian $479 · 10th to 90th $457 to $501
$500$1K$2Kfacility $479professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$501.19
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$616.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,096.48
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$741.31
Typical High
$2,884.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,318.26
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$776.25
Typical High
$776.25
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$288.40
Typical High
$602.56

Where Washington, DC 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.

Washington, DC· 49th of 51

$479

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.