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Genetic Test for Changes in a Single Gene

Tennessee 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?

$513

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $513 for this service. The price depends on where it is billed: about $513 from a physician practice, and about $794 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$513$479 to $646
FacilityA hospital or hospital-owned outpatient department$794$525 to $2,291

How much rates vary

Facilitymedian $794 · 10th to 90th $479 to $2,754Professionalmedian $513 · 10th to 90th $331 to $776
$200$500$1K$2K$5Kfacility $794professional $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
$478.63
Median
$977.24
Typical High
$2,754.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$512.86
Typical High
$741.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$645.65
Typical High
$645.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$1,047.13
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$363.08
Typical High
$912.01
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$4,786.30
Typical High
$4,786.30
United
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$645.65
Typical High
$645.65
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$389.05
Typical High
$707.95

Where Tennessee 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.

Tennessee· 44th of 51

$513

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.