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Genetic Test For A Specific Gene Change

Colorado rates for HCPCS 81404

This is a laboratory test that analyzes a particular gene to look for a specific genetic change linked to an inherited condition or a disease risk. Which gene is examined depends on the medical reason the test was ordered, such as a family history of a certain condition or a diagnosis that needs genetic confirmation. The analysis involves techniques of moderate technical complexity compared with simpler single-variant genetic checks.

Rates data updated July 2026.

How much does Genetic Test For A Specific Gene Change cost?

$295

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $295 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $676 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 7 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$209$174 to $224
FacilityA hospital or hospital-owned outpatient department$676$363 to $1,148

How much rates vary

Facilitymedian $676 · 10th to 90th $214 to $1,380Professionalmedian $209 · 10th to 90th $115 to $295
$100$200$500$1K$2Kfacility $676professional $209

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
$173.78
Median
$602.56
Typical High
$1,288.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$208.93
Typical High
$295.12
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$812.83
Typical High
$1,380.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$114.82
Typical High
$275.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$177.83
Typical High
$724.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$147.91
Typical High
$398.11
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$275.42
Typical High
$416.87
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$776.25
Select Health
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$512.86
Typical High
$575.44
Select Health
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$275.42
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$275.42
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$165.96

Where Colorado sits

The same service costs 3.5 times more in Alaska than in Rhode Island. 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.

Colorado· 15th of 51

$295

AK $617RI $174

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.