go back

Genetic Test for Changes in a Single Gene

West 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?

$269

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $269 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $407 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 4 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$245 to $282
FacilityA hospital or hospital-owned outpatient department$407$269 to $490

How much rates vary

Facilitymedian $407 · 10th to 90th $269 to $646Professionalmedian $263 · 10th to 90th $219 to $282
$200$500$1Kfacility $407professional $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
$407.38
Typical High
$489.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$263.03
Typical High
$281.84
CareSource
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
CareSource
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$831.76
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$1,584.89
Typical High
$1,584.89
United
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$380.19
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$165.96
Typical High
$363.08

Where West 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.

West Virginia· 40th of 51

$269

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.