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Genetic Test Of One Gene

Michigan 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?

$813

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $813 for this service. The price depends on where it is billed: about $813 from a physician practice, and about $813 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$813$676 to $813
FacilityA hospital or hospital-owned outpatient department$813$813 to $1,000

How much rates vary

Facilitymedian $813 · 10th to 90th $759 to $1,479Professionalmedian $813 · 10th to 90th $457 to $1,000
$500$1K$2Kfacility $813professional $813

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
$812.83
Median
$812.83
Typical High
$1,479.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$812.83
Typical High
$1,000.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$954.99
Typical High
$1,698.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$457.09
Typical High
$1,174.90
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$870.96
Typical High
$2,041.74
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$851.14
Typical High
$1,148.15
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$977.24
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$851.14
Typical High
$1,023.29
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$512.86
Typical High
$851.14

Where Michigan 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.

Michigan· 27th of 51

$813

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.