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Genetic Test for Changes in a Single Gene

New York 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?

$316

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $316 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $513 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 9 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$174 to $380
FacilityA hospital or hospital-owned outpatient department$513$331 to $759

How much rates vary

Facilitymedian $513 · 10th to 90th $229 to $912Professionalmedian $263 · 10th to 90th $132 to $646
$100$200$500$1K$2Kfacility $513professional $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
$269.15
Median
$562.34
Typical High
$912.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$269.15
Typical High
$588.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$851.14
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$630.96
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$331.13
Typical High
$331.13
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$331.13
Typical High
$331.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$707.95
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$416.87
Typical High
$1,202.26
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$426.58
Typical High
$912.01
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$275.42
Typical High
$630.96
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$316.23
Typical High
$389.05
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$426.58
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$331.13
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$331.13
Typical High
$489.78
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$263.03
Typical High
$741.31
Univera
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$239.88
Typical High
$389.05
Univera
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$316.23
Typical High
$588.84

Where New York 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 York· 29th of 51

$316

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.