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Genetic Test for Changes in a Single Gene

Indiana 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?

$269

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $269 for this service. The price depends on where it is billed: about $269 from a physician practice, and about $331 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 4 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$269$182 to $269
FacilityA hospital or hospital-owned outpatient department$331$331 to $661

How much rates vary

Facilitymedian $331 · 10th to 90th $331 to $977Professionalmedian $269 · 10th to 90th $132 to $295
$200$500$1K$2Kfacility $331professional $269

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
$269.15
Median
$512.86
Typical High
$977.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$269.15
Typical High
$295.12
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$977.24
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$263.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$549.54
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$239.88
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$380.19
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$199.53
Typical High
$398.11

Where Indiana 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.

Indiana· 39th of 51

$269

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.