go back

Genetic Test for Changes in a Single Gene

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $282 for this service. The price depends on where it is billed: about $245 from a physician practice, and about $347 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$245$148 to $282
FacilityA hospital or hospital-owned outpatient department$347$331 to $676

How much rates vary

Facilitymedian $347 · 10th to 90th $282 to $1,023Professionalmedian $245 · 10th to 90th $132 to $537
$200$500$1K$2K$5K$10Kfacility $347professional $245

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
$245.47
Median
$630.96
Typical High
$812.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$281.84
Typical High
$630.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$1,318.26
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$223.87
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$316.23
Typical High
$371.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$645.65
Typical High
$1,698.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$204.17
Typical High
$524.81
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$363.08
Typical High
$457.09
Medcost
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$331.13
Typical High
$562.34
Medcost
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$691.83
Sentara
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$389.05
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$389.05
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$331.13
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$169.82
Typical High
$380.19

Where Virginia 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.

Virginia· 36th 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.