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Gene Analysis, One Gene

New York rates for HCPCS 81183

A molecular laboratory test in which the DNA of a single gene is examined in a sample from the patient and any changes found are reported. It answers a narrow, specific question rather than surveying a person's DNA broadly.

Rates data updated July 2026.

How much does Gene Analysis, One Gene cost?

$138

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $138 for this service. The price depends on where it is billed: about $112 from a physician practice, and about $214 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 9 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$112$74.13 to $166
FacilityA hospital or hospital-owned outpatient department$214$138 to $316

How much rates vary

Facilitymedian $214 · 10th to 90th $95 to $380Professionalmedian $112 · 10th to 90th $55 to $263
$100$200$500$1Kfacility $214professional $112

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
$112.20
Median
$234.42
Typical High
$380.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$112.20
Typical High
$245.47
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$354.81
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$275.42
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$138.04
Typical High
$138.04
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$138.04
Typical High
$138.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$295.12
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$169.82
Typical High
$501.19
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$173.78
Typical High
$380.19
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$114.82
Typical High
$263.03
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$128.82
Typical High
$162.18
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$257.04
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$138.04
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$138.04
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$117.49
Typical High
$309.03
Univera
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$100.00
Typical High
$151.36
Univera
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$128.82
Typical High
$245.47

Where New York sits

The same service costs 3.4 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.

New York· 22nd of 51

$138

AK $309DE $91.20

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.