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Genetic Test Of One Gene

Maine 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 Maine, 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 $1,380 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 6 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$1,380$851 to $3,802

How much rates vary

Facilitymedian $1,380 · 10th to 90th $851 to $5,370Professionalmedian $851 · 10th to 90th $513 to $933
$500$1K$2K$5Kfacility $1,380professional $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
$851.14
Median
$851.14
Typical High
$3,801.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$691.83
Typical High
$851.14
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$5,370.32
Typical High
$5,888.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$512.86
Typical High
$812.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$851.14
Typical High
$1,047.13
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$1,023.29
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$3,801.89
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$851.14
Typical High
$933.25
United
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$851.14
Typical High
$1,288.25

Where Maine 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.

Maine· 17th 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.