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Genetic Test Of One Gene

New Jersey 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?

$724

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $724 for this service. The price depends on where it is billed: about $676 from a physician practice, and about $1,413 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$676$513 to $724
FacilityA hospital or hospital-owned outpatient department$1,413$1,096 to $3,981

How much rates vary

Facilitymedian $1,413 · 10th to 90th $851 to $8,511Professionalmedian $676 · 10th to 90th $447 to $1,047
$200$500$1K$2K$5K$10K$20Kfacility $1,413professional $676

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
$1,071.52
Median
$1,122.02
Typical High
$5,248.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$676.08
Typical High
$977.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,862.09
Typical High
$3,890.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$776.25
Typical High
$1,698.24
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$891.25
Typical High
$1,621.81
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$10,471.29
Typical High
$25,118.86
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$851.14
Typical High
$1,737.80
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$512.86
Typical High
$891.25

Where New Jersey 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 Jersey· 37th of 51

$724

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.