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Genetic Test For A Specific Gene Change

Washington, DC 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?

$204

Typical negotiated rate. In Washington, DC, July 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $204 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 5 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$204$204 to $214
FacilityA hospital or hospital-owned outpatient department$490$204 to $1,698

How much rates vary

Facilitymedian $490 · 10th to 90th $204 to $1,698Professionalmedian $204 · 10th to 90th $204 to $389
$200$500$1K$2Kfacility $490professional $204

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
$204.17
Median
$489.78
Typical High
$1,698.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$213.80
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$794.33
Typical High
$2,754.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$467.74
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$346.74
Typical High
$1,258.93
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$478.63
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$331.13
Typical High
$1,659.59
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$123.03
Typical High
$257.04

Where Washington, DC 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.

Washington, DC· 47th of 51

$204

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.