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Genetic Test Of One Gene

Virginia 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?

$741

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $741 for this service. The price depends on where it is billed: about $631 from a physician practice, and about $891 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$631$380 to $724
FacilityA hospital or hospital-owned outpatient department$891$851 to $1,862

How much rates vary

Facilitymedian $891 · 10th to 90th $724 to $3,802Professionalmedian $631 · 10th to 90th $339 to $1,380
$500$1K$2K$5K$10Kfacility $891professional $631

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
$1,778.28
Typical High
$4,265.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$724.44
Typical High
$1,621.81
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$3,388.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$562.34
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$812.83
Typical High
$954.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$2,089.30
Typical High
$4,365.16
Cigna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$512.86
Typical High
$1,318.26
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$933.25
Typical High
$1,174.90
Medcost
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$933.25
Typical High
$1,445.44
Medcost
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$1,778.28
Sentara
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,000.00
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,000.00
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$851.14
Typical High
$1,023.29
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$436.52
Typical High
$977.24

Where Virginia 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.

Virginia· 33rd of 51

$741

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.