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Genetic Test For A Specific Gene Change

Georgia 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?

$257

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $234 from a physician practice, and about $363 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$234$166 to $302
FacilityA hospital or hospital-owned outpatient department$363$229 to $427

How much rates vary

Facilitymedian $363 · 10th to 90th $191 to $832Professionalmedian $234 · 10th to 90th $110 to $661
$100$200$500$1K$2Kfacility $363professional $234

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
$190.55
Median
$426.58
Typical High
$831.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$239.88
Typical High
$954.99
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$316.23
Typical High
$389.05
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$109.65
Typical High
$549.54
CareSource
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
CareSource
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$354.81
Typical High
$371.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$446.68
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$281.84
Typical High
$831.76
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$354.81
Typical High
$2,137.96
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$338.84
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$245.47
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$165.96
Typical High
$354.81

Where Georgia 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.

Georgia· 29th of 51

$257

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.