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Genetic Test Of One Gene

Utah 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?

$759

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $759 for this service. The price depends on where it is billed: about $759 from a physician practice, and about $4,074 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 7 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$759$724 to $759
FacilityA hospital or hospital-owned outpatient department$4,074$977 to $4,074

How much rates vary

Facilitymedian $4,074 · 10th to 90th $759 to $5,370Professionalmedian $759 · 10th to 90th $355 to $955
$500$1K$2K$5Kfacility $4,074professional $759

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
$758.58
Median
$4,073.80
Typical High
$5,370.32
Aetna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$891.25
Typical High
$2,344.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$870.96
Typical High
$1,548.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$3,388.44
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$954.99
Select Health
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$741.31
Typical High
$1,258.93
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$851.14

Where Utah 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.

Utah· 31st of 51

$759

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.