go back

Genetic Test For A Specific Gene Change

Nebraska 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?

$398

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $398 for this service. The price depends on where it is billed: about $182 from a physician practice, and about $550 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 6 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$182$182 to $724
FacilityA hospital or hospital-owned outpatient department$550$339 to $724

How much rates vary

Facilitymedian $550 · 10th to 90th $182 to $1,349Professionalmedian $182 · 10th to 90th $166 to $1,820
$100$200$500$1K$2Kfacility $550professional $182

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
$275.42
Median
$616.60
Typical High
$1,348.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$1,819.70
BCBS
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$446.68
Typical High
$954.99
BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$426.58
Typical High
$446.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$524.81
Typical High
$660.69
Medica
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$416.87
Typical High
$1,318.26
Medica
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$165.96
Typical High
$794.33
Midlands
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$263.03
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$165.96
Typical High
$758.58

Where Nebraska 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.

Nebraska· 4th of 51

$398

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.