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Genetic Test for Changes in a Single Gene

Georgia 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?

$646

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $646 for this service. The price depends on where it is billed: about $603 from a physician practice, and about $851 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 7 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$603$447 to $646
FacilityA hospital or hospital-owned outpatient department$851$646 to $1,148

How much rates vary

Facilitymedian $851 · 10th to 90th $513 to $1,585Professionalmedian $603 · 10th to 90th $389 to $1,023
$200$500$1K$2Kfacility $851professional $603

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
$190.55
Median
$575.44
Typical High
$1,174.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$549.54
Typical High
$691.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$870.96
Typical High
$1,659.59
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$645.65
Typical High
$1,071.52
CareSource
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
CareSource
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$831.76
Typical High
$870.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$1,258.93
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$645.65
Typical High
$1,548.82
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$831.76
Typical High
$1,412.54
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$794.33
Typical High
$1,380.38
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$575.44
Typical High
$645.65
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$389.05
Typical High
$831.76

Where Georgia 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.

Georgia· 22nd of 51

$646

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.