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Genetic Test Of One Gene

Nebraska 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 Nebraska, July 2026.

Insurers have agreed to pay about $813 for this service. The price depends on where it is billed: about $562 from a physician practice, and about $1,023 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$562$562 to $2,239
FacilityA hospital or hospital-owned outpatient department$1,023$603 to $2,239

How much rates vary

Facilitymedian $1,023 · 10th to 90th $513 to $2,239Professionalmedian $562 · 10th to 90th $513 to $5,623
$200$500$1K$2K$5Kfacility $1,023professional $562

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
$602.56
Median
$2,238.72
Typical High
$4,168.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$5,623.41
BCBS
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,148.15
Typical High
$2,238.72
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,318.26
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,621.81
Typical High
$2,041.74
Medica
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$562.34
Typical High
$3,981.07
Medica
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$512.86
Typical High
$2,454.71
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$812.83
Typical High
$851.14
United
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$512.86
Typical High
$2,344.23

Where Nebraska 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.

Nebraska· 26th 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.