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Genetic Test For A Specific Gene Change

Oregon 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?

$302

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $275 from a physician practice, and about $331 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 8 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$275$234 to $398
FacilityA hospital or hospital-owned outpatient department$331$275 to $550

How much rates vary

Facilitymedian $331 · 10th to 90th $275 to $813Professionalmedian $275 · 10th to 90th $174 to $537
$200$500$1Kfacility $331professional $275

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
$354.81
Median
$691.83
Typical High
$1,230.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$269.15
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$724.44
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$302.00
Typical High
$489.78
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$588.84
Typical High
$724.44
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$275.42
Typical High
$380.19
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$302.00
Typical High
$389.05
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$549.54
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$389.05
Providence
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$380.19
Typical High
$794.33
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$302.00
Typical High
$407.38
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$812.83
Typical High
$1,000.00
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$234.42
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$331.13

Where Oregon 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.

Oregon· 13th of 51

$302

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.