go back

Genetic Test for Changes in a Single Gene

Iowa 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 Iowa, July 2026.

Insurers have agreed to pay about $331 for this service. The price depends on where it is billed: about $288 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 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$288$251 to $631
FacilityA hospital or hospital-owned outpatient department$501$331 to $871

How much rates vary

Facilitymedian $501 · 10th to 90th $251 to $955Professionalmedian $288 · 10th to 90th $200 to $2,188
$200$500$1K$2Kfacility $501professional $288

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
$676.08
Typical High
$954.99
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$288.40
Typical High
$2,187.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$630.96
Typical High
$794.33
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$575.44
Typical High
$870.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$398.11
Typical High
$870.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$331.13
Typical High
$1,318.26
Midlands
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$436.52
Typical High
$436.52
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$354.81
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$724.44
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$831.76
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13

Where Iowa 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.

Iowa· 22nd 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.