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Genetic Analysis Of One Gene

Washington, DC 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?

$178

Typical negotiated rate. In Washington, DC, July 2026.

Insurers have agreed to pay about $178 for this service. The price depends on where it is billed: about $178 from a physician practice, and about $178 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 5 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$178$178 to $186
FacilityA hospital or hospital-owned outpatient department$178$178 to $288

How much rates vary

Facilitymedian $178 · 10th to 90th $178 to $398Professionalmedian $178 · 10th to 90th $170 to $275
$100$200$500$1Kfacility $178professional $178

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$186.21
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$489.78
Typical High
$1,737.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$398.11
Typical High
$912.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$275.42
Typical High
$1,071.52
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$416.87
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$288.40
Typical High
$288.40
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$107.15
Typical High
$204.17

Where Washington, DC 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.

Washington, DC· 45th of 51

$178

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.