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Genetic Test for Changes in a Single Gene

Ohio 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?

$295

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $295 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $490 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 8 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$170 to $316
FacilityA hospital or hospital-owned outpatient department$490$331 to $676

How much rates vary

Facilitymedian $490 · 10th to 90th $275 to $741Professionalmedian $263 · 10th to 90th $132 to $562
$200$500$1Kfacility $490professional $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
$630.96
Typical High
$794.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$269.15
Typical High
$741.31
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$346.74
Typical High
$602.56
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$169.82
Typical High
$426.58
CareSource
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
CareSource
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$426.58
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$186.21
Typical High
$660.69
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$436.52
Typical High
$1,819.70
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$186.21
Typical High
$630.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$269.15
Typical High
$346.74
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$398.11
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$331.13
Typical High
$489.78
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$199.53
Typical High
$446.68

Where Ohio 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.

Ohio· 32nd of 51

$295

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.