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Genetic Test for Changes in a Single Gene

Georgia 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?

$331

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $331 for this service. The price depends on where it is billed: about $309 from a physician practice, and about $437 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 6 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$309$229 to $331
FacilityA hospital or hospital-owned outpatient department$437$331 to $603

How much rates vary

Facilitymedian $437 · 10th to 90th $263 to $813Professionalmedian $309 · 10th to 90th $200 to $525
$100$200$500$1Kfacility $437professional $309

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
$218.78
Median
$302.00
Typical High
$691.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$281.84
Typical High
$354.81
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$446.68
Typical High
$851.14
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$331.13
Typical High
$549.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$645.65
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$331.13
Typical High
$794.33
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$426.58
Typical High
$724.44
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$407.38
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$199.53
Typical High
$426.58

Where Georgia 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.

Georgia· 17th of 51

$331

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.