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Genetic Test for Changes in a Single Gene

Arizona rates for HCPCS 81352

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?

$263

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $245 from a physician practice, and about $501 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$245$219 to $275
FacilityA hospital or hospital-owned outpatient department$501$324 to $977

How much rates vary

Facilitymedian $501 · 10th to 90th $229 to $1,318Professionalmedian $245 · 10th to 90th $138 to $380
$100$200$500$1K$2Kfacility $501professional $245

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
$251.19
Median
$501.19
Typical High
$1,318.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$245.47
Typical High
$380.19
BCBS
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$954.99
Typical High
$1,737.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$323.59
Typical High
$2,238.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$275.42
Typical High
$912.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$295.12
Typical High
$467.74
Medica
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$331.13
Typical High
$602.56
Medica
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$331.13
Typical High
$380.19
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$331.13

Where Arizona 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.

Arizona· 43rd of 51

$263

AK $741DE $219

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.