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Genetic Analysis Of One Gene

Washington, DC rates for HCPCS 81173

Reads a single gene in a sample and reports what is found in it. The work is directed at that one gene rather than a broad scan, so it is used when the question has already been narrowed down by symptoms, family history, or earlier testing.

Rates data updated July 2026.

How much does Genetic Analysis Of One Gene cost?

$224

Typical negotiated rate. In Washington, DC, July 2026.

Insurers have agreed to pay about $224 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $224 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$224$224 to $224
FacilityA hospital or hospital-owned outpatient department$224$224 to $363

How much rates vary

Facilitymedian $224 · 10th to 90th $224 to $513Professionalmedian $224 · 10th to 90th $219 to $234
$200$500$1Kfacility $224professional $224

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$234.42
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$288.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$512.86
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$346.74
Typical High
$1,380.38
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$524.81
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$363.08
Typical High
$363.08
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$134.90
Typical High
$281.84

Where Washington, DC sits

The same service costs 3.3 times more in Alaska than in Delaware. 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.

Washington, DC· 47th of 51

$224

AK $676DE $204

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.