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Genetic Test For A Specific Gene Change

Hawaii 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?

$347

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $347 for this service. Most negotiated rates run $275 to $355.

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.

How much rates vary

Facilitymedian $269 · 10th to 90th $229 to $331Professionalmedian $347 · 10th to 90th $234 to $479
$200$500facility $269professional $347

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
$229.09
Median
$269.15
Typical High
$331.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
HMSA
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$346.74
Typical High
$346.74
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$331.13
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$275.42
Typical High
$331.13
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$371.54
Typical High
$489.78

Where Hawaii 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.

Hawaii· 6th of 51

$347

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.