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Genetic Test for Changes in a Single Gene

Florida 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?

$240

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $229 from a physician practice, and about $617 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$229$200 to $269
FacilityA hospital or hospital-owned outpatient department$617$295 to $1,148

How much rates vary

Facilitymedian $617 · 10th to 90th $240 to $1,622Professionalmedian $229 · 10th to 90th $174 to $331
$10$20$50$100$200$500$1Kfacility $617professional $229

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
$239.88
Median
$794.33
Typical High
$1,778.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$229.09
Typical High
$295.12
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
AvMed
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$331.13
Typical High
$389.05
AvMed
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$331.13
Typical High
$331.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$251.19
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$239.88
Typical High
$575.44
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$281.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$295.12
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$141.25
Typical High
$436.52
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$331.13
Typical High
$331.13

Where Florida 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.

Florida· 50th of 51

$240

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.