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Genetic Test Of One Gene

Colorado rates for HCPCS 81185

A specialist laboratory examines the DNA of a single gene taken from a patient sample and reports any changes found in it. The result contributes to a diagnosis or to a treatment decision rather than answering the question on its own.

Rates data updated July 2026.

How much does Genetic Test Of One Gene cost?

$891

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $891 for this service. The price depends on where it is billed: about $646 from a physician practice, and about $2,089 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 7 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$646$513 to $692
FacilityA hospital or hospital-owned outpatient department$2,089$1,122 to $3,548

How much rates vary

Facilitymedian $2,089 · 10th to 90th $646 to $4,266Professionalmedian $646 · 10th to 90th $355 to $912
$500$1K$2K$5Kfacility $2,089professional $646

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
$537.03
Median
$1,862.09
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$645.65
Typical High
$912.01
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$2,511.89
Typical High
$4,265.80
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$851.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$549.54
Typical High
$2,238.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$446.68
Typical High
$1,230.27
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$851.14
Typical High
$1,288.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,202.26
Typical High
$2,238.72
Select Health
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,548.82
Typical High
$1,778.28
Select Health
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$851.14
Typical High
$1,258.93
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$851.14
Typical High
$1,258.93
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$512.86

Where Colorado 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.

Colorado· 13th of 51

$891

AK $1,905DE $562

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.