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Genetic Test for Changes in a Single Gene

Kentucky 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 Kentucky, July 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $219 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 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$219$132 to $275
FacilityA hospital or hospital-owned outpatient department$331$269 to $490

How much rates vary

Facilitymedian $331 · 10th to 90th $269 to $794Professionalmedian $219 · 10th to 90th $132 to $380
$100$200$500$1Kfacility $331professional $219

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
$269.15
Typical High
$794.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$263.03
Typical High
$398.11
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$331.13
Typical High
$346.74
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
CareSource
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$457.09
Typical High
$630.96
CareSource
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$426.58
Typical High
$549.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$831.76
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$524.81
Typical High
$1,584.89
United
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$199.53
Typical High
$331.13

Where Kentucky 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.

Kentucky· 45th 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.