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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 October 2026.

How much does Genetic Test For A Specific Gene Change cost?

$257

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $219 from a physician practice, and about $263 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$219$204 to $275
FacilityA hospital or hospital-owned outpatient department$263$257 to $363

How much rates vary

Facilitymedian $263 · 10th to 90th $204 to $513Professionalmedian $219 · 10th to 90th $166 to $331
$10$20$50$100$200$500facility $263professional $219

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$263.03
Median
$263.03
Typical High
$407.38
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$131.83
Median
$131.83
Typical High
$204.17
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$52.48
Median
$52.48
Typical High
$81.28
Aetna
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$269.15
Typical High
$302.00
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$125.89
Median
$134.90
Typical High
$138.04
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$50.12
Median
$53.70
Typical High
$54.95
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$204.17
Median
$295.12
Typical High
$512.86
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$204.17
Typical High
$204.17
CareSource
Setting
Facility
Modifier
None
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
CareSource
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$302.00
Typical High
$371.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$275.42
Typical High
$371.54
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$263.03
Median
$263.03
Typical High
$645.65
Health Alliance Plan
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$131.83
Median
$131.83
Typical High
$204.17
Health Alliance Plan
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$52.48
Median
$52.48
Typical High
$81.28
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$263.03
Typical High
$371.54
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Priority Health
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$275.42
Typical High
$371.54
United
Setting
Facility
Modifier
None
Typical Low
$165.96
Median
$245.47
Typical High
$331.13
United
Setting
Professional
Modifier
None
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 Utah. 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· 32nd of 51

$257

AK $617UT $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.