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Genetic Test For A Specific Gene Change

Oklahoma 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?

$275

Typical negotiated rate. In Oklahoma, July 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $288 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$263$204 to $263
FacilityA hospital or hospital-owned outpatient department$288$251 to $389

How much rates vary

Facilitymedian $288 · 10th to 90th $204 to $437Professionalmedian $263 · 10th to 90th $115 to $347
$200$500$1Kfacility $288professional $263

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
$204.17
Median
$275.42
Typical High
$691.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$346.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$323.59
Typical High
$426.58
BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$741.31
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$398.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$281.84
Typical High
$478.63
Medica
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$275.42
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$181.97

Where Oklahoma 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.

Oklahoma· 18th of 51

$275

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.