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Genetic Test Of One Gene

Connecticut 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?

$851

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $851 for this service. The price depends on where it is billed: about $562 from a physician practice, and about $1,318 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$562$513 to $1,122
FacilityA hospital or hospital-owned outpatient department$1,318$851 to $1,778

How much rates vary

Facilitymedian $1,318 · 10th to 90th $851 to $2,344Professionalmedian $562 · 10th to 90th $447 to $1,905
$500$1K$2K$5Kfacility $1,318professional $562

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
$851.14
Median
$1,202.26
Typical High
$2,344.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$562.34
Typical High
$1,905.46
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,318.26
Typical High
$2,290.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$831.76
Typical High
$1,905.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,819.70
Typical High
$3,090.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$933.25
Typical High
$1,698.24
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,122.02
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$707.95
Typical High
$1,380.38

Where Connecticut 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.

Connecticut· 24th of 51

$851

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.