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Genetic Test For A Specific Gene Change

Florida 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?

$200

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $191 from a physician practice, and about $380 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$191$174 to $224
FacilityA hospital or hospital-owned outpatient department$380$245 to $794

How much rates vary

Facilitymedian $380 · 10th to 90th $174 to $1,479Professionalmedian $191 · 10th to 90th $166 to $275
$10$50$200$1Kfacility $380professional $191

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
$354.81
Typical High
$1,621.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$190.55
Typical High
$251.19
AvMed
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$275.42
Typical High
$323.59
AvMed
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$275.42
Typical High
$275.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$239.88
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$223.87
Typical High
$489.78
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$213.80
Molina
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$173.78
Typical High
$288.40
United
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$245.47
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$117.49
Typical High
$363.08
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$275.42
Typical High
$275.42

Where Florida 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.

Florida· 48th of 51

$200

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.