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Genetic Analysis Of One Gene

Kentucky 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?

$240

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $240 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 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$240$186 to $245
FacilityA hospital or hospital-owned outpatient department$240$195 to $347

How much rates vary

Facilitymedian $240 · 10th to 90th $186 to $575Professionalmedian $240 · 10th to 90th $117 to $263
$100$200$500$1Kfacility $240professional $240

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
$186.21
Median
$194.98
Typical High
$575.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$190.55
Typical High
$288.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$239.88
Typical High
$251.19
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$245.47
Typical High
$245.47
CareSource
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$331.13
Typical High
$457.09
CareSource
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$309.03
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$346.74
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$1,148.15
Typical High
$1,148.15
United
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$239.88
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$141.25
Typical High
$218.78

Where Kentucky 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.

Kentucky· 21st of 51

$240

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.