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Genetic Test for Changes in a Single Gene

New Mexico 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?

$776

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $776 for this service. The price depends on where it is billed: about $646 from a physician practice, and about $2,042 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$646$479 to $776
FacilityA hospital or hospital-owned outpatient department$2,042$955 to $3,890

How much rates vary

Facilitymedian $2,042 · 10th to 90th $575 to $5,370Professionalmedian $646 · 10th to 90th $269 to $4,266
$500$1K$2K$5K$10K$20K$50Kfacility $2,042professional $646

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
$954.99
Median
$1,905.46
Typical High
$2,041.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$776.25
Typical High
$4,265.80
BCBS
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$3,467.37
Typical High
$5,754.40
BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$524.81
Typical High
$645.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$676.08
Typical High
$954.99
Molina
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
Providence
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$645.65
Typical High
$1,258.93
Providence
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$758.58
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$575.44
Typical High
$954.99
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$512.86

Where New Mexico 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 Mexico· 10th of 51

$776

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.