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Genetic Analysis Of One Gene

Illinois 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?

$195

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $182 from a physician practice, and about $372 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$182$100 to $204
FacilityA hospital or hospital-owned outpatient department$372$245 to $490

How much rates vary

Facilitymedian $372 · 10th to 90th $204 to $646Professionalmedian $182 · 10th to 90th $3 to $347
$5$20$100$500$2Kfacility $372professional $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
$194.98
Median
$371.54
Typical High
$489.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$194.98
Typical High
$436.52
BCBS
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$831.76
Typical High
$3,019.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$165.96
Typical High
$181.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$501.19
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$275.42
Typical High
$398.11
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$338.84
Typical High
$501.19
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$239.88
Typical High
$478.63
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$100.00
Typical High
$239.88

Where Illinois 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.

Illinois· 37th of 51

$195

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.