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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 October 2026.

How much does Genetic Analysis Of One Gene cost?

$191

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $141 from a physician practice, and about $240 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$141$95.50 to $240
FacilityA hospital or hospital-owned outpatient department$240$214 to $525

How much rates vary

Facilitymedian $240 · 10th to 90th $186 to $724Professionalmedian $141 · 10th to 90th $95 to $355
$100$200$500$1K$2Kfacility $240professional $141

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$194.98
Median
$354.81
Typical High
$870.96
Aetna
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$194.98
Typical High
$354.81
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$89.13
Median
$97.72
Typical High
$177.83
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$35.48
Median
$38.90
Typical High
$70.79
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$239.88
Typical High
$707.95
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$95.50
Typical High
$354.81
Cigna
Setting
Facility
Modifier
None
Typical Low
$154.88
Median
$239.88
Typical High
$676.08
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$213.80
Typical High
$457.09
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$275.42
Median
$588.84
Typical High
$2,187.76
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$204.17
Typical High
$363.08
United
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$141.25
Typical High
$288.40

Where Indiana sits

The same service costs 3.8 times more in Alaska than in Oklahoma. 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· 33rd of 51

$191

AK $537OK $141

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.