go back

Genetic Test for Changes in a Single Gene

Oregon 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 Oregon, July 2026.

Insurers have agreed to pay about $646 for this service. The price depends on where it is billed: about $646 from a physician practice, and about $646 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 8 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$603 to $933
FacilityA hospital or hospital-owned outpatient department$646$646 to $955

How much rates vary

Facilitymedian $646 · 10th to 90th $646 to $1,778Professionalmedian $646 · 10th to 90th $550 to $1,259
$500$1K$2Kfacility $646professional $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
$831.76
Median
$1,202.26
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$616.60
Typical High
$1,778.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$707.95
Typical High
$1,148.15
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,380.38
Typical High
$1,698.24
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$645.65
Typical High
$891.25
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$776.25
Typical High
$891.25
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$707.95
Providence
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$891.25
Typical High
$1,862.09
Providence
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$707.95
Typical High
$954.99
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,905.46
Typical High
$2,511.89
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$549.54
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$776.25

Where Oregon 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.

Oregon· 25th 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.