go back

MLH1 Gene Test

Montana 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?

$479

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $479 for this service. The price depends on where it is billed: about $447 from a physician practice, and about $562 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$447$200 to $479
FacilityA hospital or hospital-owned outpatient department$562$501 to $617

How much rates vary

Facilitymedian $562 · 10th to 90th $447 to $759Professionalmedian $447 · 10th to 90th $138 to $603
$100$200$500$1Kfacility $562professional $447

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
Professional
Modifier
None
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Cigna
Setting
Facility
Modifier
None
Typical Low
$478.63
Median
$501.19
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$380.19
Median
$562.34
Typical High
$660.69
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$562.34
Typical High
$602.56
Providence
Setting
Facility
Modifier
None
Typical Low
$478.63
Median
$501.19
Typical High
$1,905.46
Providence
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$295.12
Typical High
$478.63
United
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$138.04
Typical High
$331.13

Where Montana 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.

Montana· 4th of 51

$479

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.