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Genetic Test for Changes in a Single Gene

New Jersey 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?

$550

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $550 for this service. The price depends on where it is billed: about $513 from a physician practice, and about $1,072 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 6 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$513$389 to $550
FacilityA hospital or hospital-owned outpatient department$1,072$832 to $3,020

How much rates vary

Facilitymedian $1,072 · 10th to 90th $631 to $6,457Professionalmedian $513 · 10th to 90th $339 to $794
$200$500$1K$2K$5K$10K$20Kfacility $1,072professional $513

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
$851.14
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$512.86
Typical High
$741.31
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$1,148.15
Typical High
$2,818.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,412.54
Typical High
$2,951.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$616.60
Typical High
$1,348.96
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$676.08
Typical High
$1,230.27
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$9,772.37
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$645.65
Typical High
$1,318.26
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$389.05
Typical High
$676.08

Where New Jersey 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.

New Jersey· 38th of 51

$550

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.