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Genetic Test for Changes in a Single Gene

Maryland 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?

$245

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $245 for this service. Most negotiated rates run $214 to $282.

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.

How much rates vary

Facilitymedian $138 · 10th to 90th $138 to $251Professionalmedian $245 · 10th to 90th $148 to $398
$200$500$1K$2Kfacility $138professional $245

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$245.47
Typical High
$309.03
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$331.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$204.17
Typical High
$575.44
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$398.11
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$251.19
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$147.91
Typical High
$288.40
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96

Where Maryland 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.

Maryland· 49th of 51

$245

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.