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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 October 2026.

How much does Genetic Test Of One Gene cost?

$891

Typical negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $891 for this service. The price depends on where it is billed: about $871 from a physician practice, and about $1,585 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$871$724 to $1,349
FacilityA hospital or hospital-owned outpatient department$1,585$933 to $2,138

How much rates vary

Facilitymedian $1,585 · 10th to 90th $851 to $3,020Professionalmedian $871 · 10th to 90th $355 to $1,660
$500$1K$2Kfacility $1,585professional $871

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,513.56
Aetna
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$1,659.59
Typical High
$1,659.59
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$851.14
Median
$1,659.59
Typical High
$3,019.95
BCBS Idaho
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$851.14
Typical High
$870.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$660.69
Median
$1,778.28
Typical High
$3,311.31
Cigna
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$630.96
Typical High
$1,412.54
Moda Health
Setting
Facility
Modifier
None
Typical Low
$851.14
Median
$851.14
Typical High
$1,659.59
Moda Health
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$977.24
Typical High
$1,659.59
Molina
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$616.60
Typical High
$724.44
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$851.14
Median
$1,258.93
Typical High
$1,621.81
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$1,258.93
Typical High
$1,621.81
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$1,258.93
Median
$1,905.46
Typical High
$3,019.95
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$724.44
Typical High
$891.25
Select Health
Setting
Facility
Modifier
None
Typical Low
$851.14
Median
$851.14
Typical High
$1,096.48
Select Health
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$851.14
Typical High
$1,202.26
United
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$354.81
Typical High
$1,348.96
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
BCBS Idaho
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$588.84
Median
$602.56
Typical High
$602.56

Where Idaho sits

The same service costs 3.7 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· 18th of 51

$891

AK $1,905DE $513

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.