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Genetic Test for Changes in a Single Gene

Utah 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?

$575

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $575 for this service. The price depends on where it is billed: about $575 from a physician practice, and about $3,090 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$575$550 to $575
FacilityA hospital or hospital-owned outpatient department$3,090$741 to $3,090

How much rates vary

Facilitymedian $3,090 · 10th to 90th $575 to $4,074Professionalmedian $575 · 10th to 90th $282 to $708
$500$1K$2Kfacility $3,090professional $575

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
$575.44
Median
$3,090.30
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$676.08
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$660.69
Typical High
$1,174.90
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$2,570.40
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$630.96
Select Health
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$562.34
Typical High
$954.99
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$645.65

Where Utah 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.

Utah· 33rd of 51

$575

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.