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MLH1 Gene Test

Florida rates for HCPCS 81293

Looks for changes in the MLH1 gene in a blood or saliva sample. MLH1 is one of the genes the body uses to correct copying mistakes in DNA, and inherited changes in it cause Lynch syndrome, which raises the lifetime risk of bowel, womb and several other cancers. A result guides screening for the person tested and for their relatives.

Rates data updated October 2026.

How much does MLH1 Gene Test cost?

$200

Typical negotiated rate. In Florida, October 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $617 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$166$129 to $257
FacilityA hospital or hospital-owned outpatient department$617$417 to $617

How much rates vary

Facilitymedian $617 · 10th to 90th $209 to $617Professionalmedian $166 · 10th to 90th $66 to $372
$10$20$50$100$200$500$1Kfacility $617professional $166

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$66.07
Median
$173.78
Typical High
$524.81
Aetna
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$154.88
Typical High
$263.03
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$33.11
Median
$77.62
Typical High
$134.90
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$13.18
Median
$30.90
Typical High
$53.70
AvMed
Setting
Facility
Modifier
None
Typical Low
$263.03
Median
$331.13
Typical High
$407.38
AvMed
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$331.13
Typical High
$331.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$257.04
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$213.80
Typical High
$588.84
Florida Blue
Setting
Facility
Modifier
None
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Florida Blue
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$199.53
Typical High
$199.53
Molina
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$323.59
United
Setting
Facility
Modifier
None
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
United
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$138.04
Typical High
$436.52
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$331.13
Typical High
$331.13

Where Florida sits

The same service costs 5.2 times more in Texas than in Alabama. 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.

Florida· 48th of 51

$200

TX $912AL $174

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.