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Genetic Test For A Specific Gene Change

Kansas 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?

$331

Typical negotiated rate. In Kansas, July 2026.

Insurers have agreed to pay about $331 for this service. The price depends on where it is billed: about $269 from a physician practice, and about $562 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$269$204 to $389
FacilityA hospital or hospital-owned outpatient department$562$372 to $646

How much rates vary

Facilitymedian $562 · 10th to 90th $275 to $832Professionalmedian $269 · 10th to 90th $166 to $389
$200$500$1Kfacility $562professional $269

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
$295.12
Median
$562.34
Typical High
$933.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$239.88
Typical High
$295.12
BCBS
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$616.60
Typical High
$645.65
BCBS
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$501.19
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$263.03
Typical High
$331.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$295.12
Typical High
$398.11
Medica
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$165.96
Typical High
$1,380.38
United
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$275.42
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$165.96
Typical High
$416.87

Where Kansas 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.

Kansas· 8th of 51

$331

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.