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Genetic Test for Changes in a Single Gene

New Jersey 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 New Jersey, 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 $550 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$263$200 to $282
FacilityA hospital or hospital-owned outpatient department$550$437 to $1,514

How much rates vary

Facilitymedian $550 · 10th to 90th $331 to $3,236Professionalmedian $263 · 10th to 90th $174 to $407
$200$500$1K$2K$5K$10K$20Kfacility $550professional $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
$426.58
Median
$467.74
Typical High
$2,041.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$263.03
Typical High
$380.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$724.44
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$316.23
Typical High
$691.83
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$346.74
Typical High
$630.96
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$9,332.54
Typical High
$25,118.86
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$331.13
Typical High
$676.08
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$199.53
Typical High
$346.74

Where New Jersey 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.

New Jersey· 35th 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.