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Genetic Test Of One Gene

South Carolina 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?

$676

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $676 for this service. The price depends on where it is billed: about $661 from a physician practice, and about $2,089 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$661$661 to $692
FacilityA hospital or hospital-owned outpatient department$2,089$676 to $2,692

How much rates vary

Facilitymedian $2,089 · 10th to 90th $661 to $3,981Professionalmedian $661 · 10th to 90th $513 to $891
$500$1K$2K$5Kfacility $2,089professional $661

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
$660.69
Median
$2,089.30
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$758.58
BCBS
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$912.01
Typical High
$1,778.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$2,754.23
Typical High
$4,786.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$398.11
Typical High
$1,023.29
Medcost
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$758.58
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$851.14
Typical High
$1,023.29
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$512.86
Typical High
$851.14

Where South Carolina 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.

South Carolina· 44th of 51

$676

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.