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Genetic Test Of One Gene

Massachusetts 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 Massachusetts, July 2026.

Insurers have agreed to pay about $851 for this service. The price depends on where it is billed: about $851 from a physician practice, and about $1,175 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$851$692 to $851
FacilityA hospital or hospital-owned outpatient department$1,175$851 to $1,950

How much rates vary

Facilitymedian $1,175 · 10th to 90th $631 to $2,512Professionalmedian $851 · 10th to 90th $513 to $2,042
$500$1K$2K$5Kfacility $1,175professional $851

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
$588.84
Median
$1,479.11
Typical High
$2,511.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$630.96
Typical High
$2,511.89
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$977.24
Typical High
$2,754.23
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$851.14
Typical High
$2,818.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,047.13
Typical High
$1,698.24
BCBS
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$660.69
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$933.25
Typical High
$1,778.28
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$2,951.21
Typical High
$7,079.46
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$1,230.27
Typical High
$1,445.44
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$1,412.54
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$977.24
Typical High
$2,754.23
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$851.14
Typical High
$2,818.38
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$851.14
Typical High
$1,023.29
United
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$851.14
Typical High
$1,698.24

Where Massachusetts 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.

Massachusetts· 25th 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.