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Genetic Test for Changes in a Single Gene

Maine 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 Maine, July 2026.

Insurers have agreed to pay about $331 for this service. The price depends on where it is billed: about $331 from a physician practice, and about $427 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$331$269 to $331
FacilityA hospital or hospital-owned outpatient department$427$331 to $1,479

How much rates vary

Facilitymedian $427 · 10th to 90th $331 to $2,089Professionalmedian $331 · 10th to 90th $200 to $398
$200$500$1K$2Kfacility $427professional $331

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
$331.13
Median
$426.58
Typical High
$1,479.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$269.15
Typical High
$331.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$2,089.30
Typical High
$2,290.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$213.80
Typical High
$331.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$331.13
Typical High
$416.87
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$398.11
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$1,479.11
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$331.13
Typical High
$363.08
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$331.13
Typical High
$512.86

Where Maine 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.

Maine· 23rd 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.