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Genetic Analysis Of One Gene

Indiana 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?

$204

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $240 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 4 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$195$129 to $195
FacilityA hospital or hospital-owned outpatient department$240$240 to $479

How much rates vary

Facilitymedian $240 · 10th to 90th $240 to $708Professionalmedian $195 · 10th to 90th $95 to $224
$100$200$500$1K$2Kfacility $240professional $195

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
$263.03
Typical High
$707.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$194.98
Typical High
$213.80
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$707.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$245.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$239.88
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$218.78
Typical High
$346.74
United
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$109.65
Typical High
$288.40

Where Indiana 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.

Indiana· 36th of 51

$204

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.