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Genetic Test Of One Gene

Vermont 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 October 2026.

How much does Genetic Test Of One Gene cost?

$977

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $977 for this service. Most negotiated rates run $589 to $1,047.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $851 · 10th to 90th $851 to $1,413Professionalmedian $977 · 10th to 90th $457 to $1,288
$500$1K$2Kfacility $851professional $977

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$588.84
Median
$1,047.13
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$954.99
Typical High
$1,258.93
MVP Health Care
Setting
Facility
Modifier
None
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
United
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$977.24
Typical High
$1,862.09

Where Vermont sits

The same service costs 3.7 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.

Vermont· 10th of 51

$977

AK $1,905DE $513

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.