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Genetic Test Of One Gene

Oregon 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 Oregon, 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 $933 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 8 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$794 to $1,230
FacilityA hospital or hospital-owned outpatient department$933$851 to $1,585

How much rates vary

Facilitymedian $933 · 10th to 90th $851 to $1,862Professionalmedian $851 · 10th to 90th $724 to $1,660
$500$1K$2K$5Kfacility $933professional $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
$1,096.48
Median
$1,584.89
Typical High
$3,801.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$812.83
Typical High
$2,344.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$933.25
Typical High
$1,479.11
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,819.70
Typical High
$2,238.72
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$851.14
Typical High
$1,174.90
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$933.25
Typical High
$1,174.90
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$1,698.24
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$1,000.00
Providence
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,174.90
Typical High
$2,454.71
Providence
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$933.25
Typical High
$1,258.93
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$2,511.89
Typical High
$3,311.31
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$724.44
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$1,023.29

Where Oregon 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.

Oregon· 15th 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.