go back

Genetic Analysis Of One Gene

Colorado rates for HCPCS 81300

One gene is examined in the laboratory using DNA taken from a patient sample, and any changes found in it are reported. The result is used to support a diagnosis or to help plan treatment.

Rates data updated July 2026.

How much does Genetic Analysis Of One Gene cost?

$251

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $251 for this service. The price depends on where it is billed: about $182 from a physician practice, and about $575 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$182$100 to $195
FacilityA hospital or hospital-owned outpatient department$575$316 to $1,000

How much rates vary

Facilitymedian $575 · 10th to 90th $182 to $1,202Professionalmedian $182 · 10th to 90th $98 to $257
$100$200$500$1Kfacility $575professional $182

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
$151.36
Median
$524.81
Typical High
$1,122.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$181.97
Typical High
$257.04
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$707.95
Typical High
$1,202.26
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$239.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$154.88
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$128.82
Typical High
$346.74
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$239.88
Typical High
$363.08
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$338.84
Typical High
$426.58
Select Health
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$436.52
Typical High
$501.19
Select Health
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$239.88
Typical High
$354.81
United
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$239.88
Typical High
$354.81
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$100.00
Typical High
$141.25

Where Colorado sits

The same service costs 3.5 times more in Alaska than in Rhode Island. 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.

Colorado· 12th of 51

$251

AK $537RI $151

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.