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Genetic Test Of One Gene

South Dakota 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?

$1,259

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $1,259 for this service. The price depends on where it is billed: about $1,122 from a physician practice, and about $1,622 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 6 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$1,122$661 to $1,995
FacilityA hospital or hospital-owned outpatient department$1,622$1,549 to $1,622

How much rates vary

Facilitymedian $1,622 · 10th to 90th $955 to $1,622Professionalmedian $1,122 · 10th to 90th $562 to $2,042
$500$1K$2Kfacility $1,622professional $1,122

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
$588.84
Median
$954.99
Typical High
$954.99
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$660.69
Typical High
$794.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,621.81
Typical High
$2,041.74
Medica
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$954.99
Typical High
$1,548.82
Medica
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$4,265.80
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,995.26
Typical High
$2,344.23
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$512.86
Typical High
$1,122.02
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14

Where South Dakota 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 Dakota· 4th of 51

$1,259

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.