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Genetic Analysis Of One Gene

Idaho 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?

$245

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $245 for this service. The price depends on where it is billed: about $245 from a physician practice, and about $331 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 8 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$245$224 to $275
FacilityA hospital or hospital-owned outpatient department$331$240 to $490

How much rates vary

Facilitymedian $331 · 10th to 90th $240 to $676Professionalmedian $245 · 10th to 90th $166 to $468
$100$200$500facility $331professional $245

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
$426.58
Median
$616.60
Typical High
$616.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$275.42
Typical High
$467.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$346.74
Typical High
$831.76
BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$245.47
Typical High
$245.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$489.78
Typical High
$933.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$398.11
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$346.74
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$245.47
Typical High
$295.12
Molina
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$204.17
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$416.87
Typical High
$851.14
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$251.19
Select Health
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$309.03
Select Health
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$100.00
Typical High
$194.98

Where Idaho 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.

Idaho· 15th of 51

$245

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.