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Basic Single Gene Variant Test

North Carolina rates for HCPCS 81400

A genetic laboratory test that looks for one specific, well-established genetic change using a relatively simple laboratory technique. It represents the most basic tier of gene-based testing, generally used to check for a single known variant tied to a specific condition or trait rather than scanning a gene broadly. The exact gene and variant tested depends on why the test was ordered.

Rates data updated July 2026.

How much does Basic Single Gene Variant Test cost?

$54.95

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $54.95 for this service. The price depends on where it is billed: about $51.29 from a physician practice, and about $69.18 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$51.29$45.71 to $72.44
FacilityA hospital or hospital-owned outpatient department$69.18$51.29 to $141

How much rates vary

Facilitymedian $69 · 10th to 90th $51 to $288Professionalmedian $51 · 10th to 90th $19 to $89
$20$50$100$200facility $69professional $51

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
$51.29
Median
$61.66
Typical High
$338.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$51.29
Typical High
$85.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$194.98
Typical High
$194.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$57.54
Typical High
$114.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$141.25
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$30.20
Typical High
$85.11
Medcost
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$66.07
Typical High
$100.00
Medcost
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$75.86
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$38.02
Typical High
$67.61
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$478.63

Where North Carolina sits

The same service costs 3.0 times more in Alaska than in Washington, DC. 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.

North Carolina· 46th of 51

$54.95

AK $145DC $47.86

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.