go back

Genetic Test For A Specific Gene Change

Michigan 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?

$263

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $219 from a physician practice, and about $302 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$219$174 to $263
FacilityA hospital or hospital-owned outpatient department$302$263 to $479

How much rates vary

Facilitymedian $302 · 10th to 90th $263 to $646Professionalmedian $219 · 10th to 90th $166 to $324
$200$500$1K$2Kfacility $302professional $219

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
$263.03
Median
$323.59
Typical High
$645.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$239.88
Typical High
$323.59
BCBS
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$316.23
Typical High
$549.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$204.17
Typical High
$204.17
CareSource
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$288.40
CareSource
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$302.00
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$275.42
Typical High
$380.19
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$263.03
Typical High
$549.54
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$263.03
Typical High
$371.54
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$316.23
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$275.42
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$165.96
Typical High
$275.42

Where Michigan 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.

Michigan· 28th of 51

$263

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.