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Genetic Test Of One Gene

Tennessee 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?

$692

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $692 for this service. The price depends on where it is billed: about $676 from a physician practice, and about $1,288 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$631 to $851
FacilityA hospital or hospital-owned outpatient department$1,288$724 to $2,818

How much rates vary

Facilitymedian $1,288 · 10th to 90th $631 to $3,631Professionalmedian $676 · 10th to 90th $437 to $1,023
$200$500$1K$2K$5Kfacility $1,288professional $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
$630.96
Median
$1,288.25
Typical High
$3,630.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$676.08
Typical High
$977.24
BCBS
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$851.14
Typical High
$851.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$1,513.56
Typical High
$2,398.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$467.74
Typical High
$1,174.90
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$6,309.57
Typical High
$6,309.57
United
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$851.14
Typical High
$851.14
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$512.86
Typical High
$851.14

Where Tennessee 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.

Tennessee· 41st of 51

$692

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.