Average Medicaid Molecular & Genetic Testing Payments in Atlanta, GA: $117.52
Avg. Paid
$117.52
Range
$6.71 – $208.29
Total Claims
57,634
Providers
6
Typical Payment Range
Typical Medicaid Molecular & Genetic Testing payments fall between $45.12 and $259.78 per claim (median: $127.02). The top 10% of payments exceed $446.97.
Based on per-provider averages across all Medicaid claims in this category.
Advanced laboratory tests that analyze DNA, RNA, or proteins to diagnose genetic disorders, identify infectious agents, and guide personalized treatment.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Molecular & Genetic Testing in Atlanta, GA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Otogenetics Corporation
4553 Winters Chapel Rd Ste 100 |
$206.61 | 27,616 | 23,377 |
|
Labsolutions Llc
1451 Northside Dr Nw |
$16.97 | 18,661 | 16,065 |
|
Ispm Labs, Llc
8601 Dunwoody Pl Ste 444 |
$25.27 | 7,043 | 6,087 |
|
Medical Neurogenetics, Llc
5424 Glenridge Dr. Ne |
$67.65 | 2,138 | 1,231 |
|
Pure Diagnostic, Llc
4025 Pleasantdale Rd Ste 525 |
$208.29 | 2,050 | 1,948 |
|
Carepoint Lab, Llc
8601 Dunwoody Pl Ste 444 |
$6.71 | 126 | 91 |
What to Expect: Molecular & Genetic Testing
Molecular tests require a specimen — usually blood, saliva, or tissue. The specimen is analyzed at a specialized laboratory. Turnaround time ranges from a few days to several weeks depending on the complexity of the test. Genetic counseling may be recommended before and after testing to help you understand results. Some tests may require insurance pre-authorization.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 81220 | CFTR gene common variants | $186.90 | 2,451,870 | 508 |
| 81243 | FMR1 gene analysis | $17.34 | 1,228,607 | 195 |
| 81161 | DMD gene duplication/deletion | $44.93 | 553,641 | 31 |
| 81200 | ASPA gene analysis | $13.64 | 480,286 | 55 |
| 81225 | CYP2C19 gene analysis | $30.77 | 435,135 | 115 |
| 81226 | CYP2D6 gene analysis | $42.17 | 433,641 | 112 |
| 81227 | CYP2C9 gene analysis | $13.84 | 416,877 | 104 |
| 81230 | CYP3A4 gene analysis | $13.12 | 390,210 | 81 |
| 81162 | BRCA1/BRCA2 full sequence | $639.56 | 231,382 | 61 |
| 81229 | Cytogenomic microarray SNP | $399.71 | 211,295 | 128 |
| 81242 | FANCC gene analysis | $12.89 | 180,433 | 72 |
| 81209 | BLM gene analysis | $15.09 | 160,111 | 60 |
| 81241 | F5 Factor V Leiden | $16.77 | 130,299 | 170 |
| 81240 | F2 prothrombin gene analysis | $15.60 | 94,205 | 144 |
| 81250 | G6PC glucose-6-phosphatase | $12.38 | 76,208 | 35 |
| 81206 | BCR/ABL1 translocation major | $46.01 | 74,525 | 79 |
| 81231 | CYP3A5 gene analysis | $16.64 | 59,184 | 83 |
| 81205 | BCKDHB gene analysis | $17.04 | 47,419 | 18 |
| 81210 | BRAF gene analysis | $32.19 | 44,458 | 25 |
| 81207 | BCR/ABL1 translocation minor | $34.44 | 41,720 | 43 |
| 81201 | APC gene full sequence | $171.79 | 39,021 | 47 |
| 81235 | EGFR gene analysis | $59.57 | 34,438 | 28 |
| 81219 | CALR gene analysis | $30.08 | 23,478 | 32 |
| 81244 | FMR1 gene characterization | $16.35 | 21,715 | 24 |
| 81211 | BRCA1/BRCA2 common variants | $790.93 | 19,033 | 20 |
| 81163 | BRCA1/BRCA2 full seq known | $136.86 | 14,168 | 5 |
| 81222 | CFTR dup/del variants | $68.86 | 13,269 | 16 |
| 81170 | ABL1 gene analysis | $74.18 | 13,088 | 6 |
| 81236 | EZH2 gene analysis | $43.74 | 13,050 | 13 |
| 81213 | BRAF gene common variants | $215.93 | 12,502 | 8 |
| 81175 | ASXL1 gene analysis | $98.65 | 11,184 | 11 |
| 81223 | CFTR full gene sequence | $376.17 | 10,979 | 30 |
| 81232 | DPYD gene analysis | $11.89 | 9,052 | 36 |
| 81249 | G6PC gene analysis | $108.64 | 8,460 | 20 |
| 81202 | APC gene known variants | $36.58 | 8,071 | 2 |
| 81224 | CFTR intron 8 poly-T analysis | $25.15 | 6,826 | 1 |
| 81238 | F9 coagulation factor IX | $88.85 | 6,714 | 20 |
| 81203 | APC gene dup/del variants | $112.77 | 6,140 | 12 |
| 81216 | BRCA2 full sequence | $9.31 | 4,286 | 7 |
| 81208 | BCR/ABL1 translocation other | $42.10 | 4,195 | 5 |
| 81245 | FLT3 gene analysis | $28.71 | 4,023 | 6 |
| 81247 | G6PD gene analysis | $12.85 | 3,807 | 10 |
| 81228 | Cytogenomic microarray copy | $147.79 | 1,796 | 9 |
| 81233 | BTK gene analysis | $15.03 | 1,612 | 6 |
| 81218 | CEBPA gene full sequence | $60.01 | 1,088 | 8 |
| 81234 | CALR gene analysis type 1 | $30.95 | 800 | 1 |
| 81212 | BRCA1/BRCA2 185delAG | $75.51 | 460 | 4 |
| 81214 | BRCA1 gene partial seq | $22.10 | 415 | 1 |
| 81176 | ASXL1 gene analysis targeted | $42.41 | 215 | 1 |
| 81165 | BRCA1 full sequence | $44.39 | 154 | 2 |
| 81167 | BRCA2 full sequence | $63.15 | 89 | 1 |
| 81215 | BRCA1 known familial variant | $139.73 | 74 | 1 |
| 81237 | EZH2 gene full sequence | $21.78 | 45 | 1 |
| 81217 | BRCA2 known familial variant | $97.91 | 41 | 1 |
| 81246 | FLT3 gene analysis ITD variants | $6.76 | 41 | 1 |
| 81164 | BRCA1/BRCA2 full seq dup/del | $0.00 | 35 | 2 |
| 81166 | BRCA1 full dup/del analysis | $32.65 | 18 | 1 |
| 81221 | CFTR known familial variants | — | — | — |
| 81239 | DMPK gene analysis | — | — | — |
| 81248 | GBA glucocerebrosidase gene | — | — | — |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Molecular & Genetic Testing cost in Atlanta, GA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Molecular & Genetic Testing in Atlanta, GA is $117.52 per claim, based on 57,634 claims from 6 providers. Typical payments fall between $45.12 and $259.78. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Molecular & Genetic Testing in Atlanta, GA?
There are 6 Medicaid providers offering Molecular & Genetic Testing related services in Atlanta, GA according to public payment data.
What is the price range for Molecular & Genetic Testing in Atlanta, GA?
Medicaid reimbursement for Molecular & Genetic Testing in Atlanta, GA ranges from $6.71 to $208.29 per claim, with an average of $117.52. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Molecular & Genetic Testing in Other Cities
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Avg $56.82
1,521,918 claims · 1 providers
Mason, OH
Avg $24.17
1,273,884 claims · 1 providers
South San Francisco, CA
Avg $95.65
376,423 claims · 2 providers
Research Triangle Park, NC
Avg $178.97
320,620 claims · 3 providers
Westborough, MA
Avg $114.39
292,005 claims · 2 providers
San Juan Capistrano, CA
Avg $98.59
227,437 claims · 1 providers
Austin, TX
Avg $60.19
187,809 claims · 4 providers
San Francisco, CA
Avg $250.88
184,435 claims · 3 providers
Other Procedures in Atlanta, GA
Non-Emergency Medical Transportation
Avg $10.41
3,368,719 claims
Emergency Room Visit
Avg $261.11
1,736,171 claims
Office Visit
Avg $65.00
1,497,277 claims
Blood Work & Lab Tests
Avg $9.49
1,059,338 claims
X-Ray
Avg $19.60
1,038,179 claims
Ultrasound
Avg $89.22
645,444 claims
Physical Therapy
Avg $100.84
350,460 claims
EKG / ECG (Electrocardiogram)
Avg $11.82
326,821 claims