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Genetic Test Of One Gene

Maryland 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?

$631

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $631 for this service. Most negotiated rates run $550 to $724.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $355 · 10th to 90th $355 to $646Professionalmedian $631 · 10th to 90th $380 to $1,023
$500$1K$2K$5Kfacility $355professional $631

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$630.96
Typical High
$812.83
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$524.81
Typical High
$1,479.11
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,023.29
Typical High
$1,258.93
United
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$645.65
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$380.19
Typical High
$741.31
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$676.08
Typical High
$676.08

Where Maryland 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.

Maryland· 47th of 51

$631

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.