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Genetic Test for Changes in a Single Gene

New Mexico 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?

$398

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $398 for this service. The price depends on where it is billed: about $380 from a physician practice, and about $1,072 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$380$245 to $427
FacilityA hospital or hospital-owned outpatient department$1,072$490 to $2,239

How much rates vary

Facilitymedian $1,072 · 10th to 90th $295 to $2,754Professionalmedian $380 · 10th to 90th $138 to $2,188
$200$1K$5K$20Kfacility $1,072professional $380

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
$489.78
Median
$977.24
Typical High
$1,071.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$398.11
Typical High
$2,187.76
BCBS
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$1,778.28
Typical High
$2,951.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$346.74
Typical High
$489.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Providence
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$331.13
Typical High
$645.65
Providence
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$389.05
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$295.12
Typical High
$489.78
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$263.03

Where New Mexico 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 Mexico· 8th of 51

$398

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.