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Genetic Test Of One Gene

New York 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 York, July 2026.

Insurers have agreed to pay about $851 for this service. The price depends on where it is billed: about $692 from a physician practice, and about $1,380 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 9 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$692$457 to $1,023
FacilityA hospital or hospital-owned outpatient department$1,380$851 to $1,950

How much rates vary

Facilitymedian $1,380 · 10th to 90th $692 to $2,344Professionalmedian $692 · 10th to 90th $339 to $1,622
$500$1K$2K$5Kfacility $1,380professional $692

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
$691.83
Median
$1,445.44
Typical High
$2,344.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$691.83
Typical High
$1,513.56
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$2,187.76
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$1,698.24
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$851.14
Typical High
$851.14
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$851.14
Typical High
$851.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,819.70
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$1,047.13
Typical High
$3,090.30
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,071.52
Typical High
$2,344.23
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$707.95
Typical High
$1,621.81
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$812.83
Typical High
$1,513.56
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$1,096.48
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$851.14
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$851.14
Typical High
$1,258.93
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$707.95
Typical High
$1,862.09
Univera
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$891.25
Typical High
$1,047.13
Univera
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$831.76
Typical High
$1,659.59

Where New York 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 York· 18th 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.