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Genetic Test Of One Gene

New Hampshire 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 New Hampshire, 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 $2,138 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 5 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$589 to $851
FacilityA hospital or hospital-owned outpatient department$2,138$1,549 to $3,467

How much rates vary

Facilitymedian $2,138 · 10th to 90th $1,175 to $4,898Professionalmedian $851 · 10th to 90th $550 to $1,585
$500$1K$2K$5Kfacility $2,138professional $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
$1,174.90
Median
$2,137.96
Typical High
$5,888.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$660.69
Typical High
$691.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,621.81
Typical High
$4,897.79
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$794.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$2,754.23
Typical High
$3,715.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$870.96
Typical High
$2,454.71
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$1,621.81
United
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$851.14
Typical High
$1,862.09

Where New Hampshire 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.

New Hampshire· 16th 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.