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Genetic Test for Changes in a Single Gene

North Carolina 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?

$282

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $282 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $316 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$263$263 to $339
FacilityA hospital or hospital-owned outpatient department$316$282 to $437

How much rates vary

Facilitymedian $316 · 10th to 90th $263 to $1,096Professionalmedian $263 · 10th to 90th $214 to $525
$200$500$1Kfacility $316professional $263

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
$263.03
Median
$288.40
Typical High
$1,096.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$263.03
Typical High
$436.52
BCBS
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$724.44
Typical High
$758.58
BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$331.13
Typical High
$588.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$724.44
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$165.96
Typical High
$501.19
Medcost
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$295.12
Typical High
$478.63
Medcost
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$389.05
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$199.53
Typical High
$346.74
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,548.82
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$2,454.71

Where North Carolina 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.

North Carolina· 37th of 51

$282

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.