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Genetic Test For A Specific Gene Change

Maryland 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?

$224

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $224 for this service. Most negotiated rates run $174 to $275.

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 $1,072 · 10th to 90th $2 to $1,778Professionalmedian $204 · 10th to 90th $123 to $479
$5$20$100$500facility $1,072professional $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
$2.34
Median
$1,071.52
Typical High
$1,778.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$223.87
Typical High
$912.01
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$245.47
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$181.97
Typical High
$489.78
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$331.13
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$1,659.59
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$123.03
Typical High
$239.88
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04

Where Maryland 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.

Maryland· 41st of 51

$224

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.