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Genetic Test Of One Gene

Idaho 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?

$871

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $871 for this service. The price depends on where it is billed: about $871 from a physician practice, and about $1,259 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 8 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$871$794 to $1,023
FacilityA hospital or hospital-owned outpatient department$1,259$851 to $2,138

How much rates vary

Facilitymedian $1,259 · 10th to 90th $851 to $2,630Professionalmedian $871 · 10th to 90th $589 to $1,660
$500$1K$2Kfacility $1,259professional $871

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
$1,513.56
Median
$2,187.76
Typical High
$2,187.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$977.24
Typical High
$1,659.59
BCBS
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,659.59
Typical High
$3,019.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$870.96
Typical High
$870.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,778.28
Typical High
$3,311.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$630.96
Typical High
$1,412.54
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$1,230.27
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$870.96
Typical High
$1,047.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$724.44
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,698.24
Typical High
$3,019.95
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$891.25
Select Health
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$1,096.48
Select Health
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$851.14

Where Idaho 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.

Idaho· 14th of 51

$871

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.