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Genetic Test Of One Gene

Montana 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?

$1,122

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $1,122 for this service. The price depends on where it is billed: about $1,047 from a physician practice, and about $1,259 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$1,047$977 to $1,660
FacilityA hospital or hospital-owned outpatient department$1,259$1,047 to $1,660

How much rates vary

Facilitymedian $1,259 · 10th to 90th $851 to $2,630Professionalmedian $1,047 · 10th to 90th $355 to $5,623
$500$1K$2K$5Kfacility $1,259professional $1,047

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
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$5,623.41
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,445.44
Typical High
$4,786.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$1,230.27
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,148.15
Typical High
$2,570.40
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,148.15
Typical High
$2,570.40
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,659.59
Typical High
$4,786.30
Providence
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$851.14

Where Montana 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.

Montana· 5th of 51

$1,122

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.